| Whitewing Dental At La Feria,pllc | |
|
200 W 1st St La Feria TX 78559-5000 | |
| (956) 797-3131 | |
| (956) 797-3232 |
| Full Name | Whitewing Dental At La Feria,pllc |
|---|---|
| Speciality | Dentist |
| Location | 200 W 1st St, La Feria, Texas |
| Authorized Official Name and Position | David C Gray (OWNER/DENTIST) |
| Authorized Official Contact | 9567973131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitewing Dental At La Feria,pllc 200 W 1st St La Feria TX 78559-5000 Ph: (956) 797-3131 | Whitewing Dental At La Feria,pllc 200 W 1st St La Feria TX 78559-5000 Ph: (956) 797-3131 |
| NPI Number | 1609384098 |
|---|---|
| Provider Enumeration Date | 01/19/2018 |
| Last Update Date | 01/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609384098 | NPI | - | NPPES |
| 329444910 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28714 (Texas) | Primary |
La Feria Family Dentistry, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Main St, La Feria, TX 78559 Phone: 956-797-3131 Fax: 956-797-3232 | |
All Star Family Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S. Main St., La Feria, TX 78559 Phone: 956-797-4444 |