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Edinburg Dental, Pllc
Pediatric Dentist in San Juan, Texas
NPI 1104364165

Edinburg Dental, Pllc is a Pediatric Dentist based in San Juan, TX and is specialized in Pediatric Dentistry. Edinburg Dental, Pllc practices in San Juan, TX. The NPI Number for Edinburg Dental, Pllc is 1104364165 and holds a License No. 22644 (Texas).

The current practice location address for Edinburg Dental, Pllc is 423 W Fm 495, San Juan, TX and can be reached out via phone at 956-537-6764.

Location: 423 W Fm 495, San Juan, TX, 78589-0102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104364165
Provider Name
Edinburg Dental, Pllc
Credential
Provider Entity Type
Organization
Address
423 W Fm 495, San Juan, TX, 78589-0102
Phone Number
956-537-6764
Fax Number
Provider Enumeration Date
02/09/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
802626200 05 TX
institution
Provider Business Practice Location Address Details
Address
423 W Fm 495
City
San Juan
State
Texas
Zip
78589-3717
Phone Number
956-537-6764
Fax Number
person
Provider Business Mailing Address Details
Address
423 W Fm 495
City
San Juan
State
Texas
Zip
78589-3717
Phone Number
956-537-6764
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
22644 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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