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Pediatric Dentistry
Pediatric Dentist in Laredo, Texas
NPI 1720472707

Pediatric Dentistry is a Pediatric Dentist based in Laredo, TX and is specialized in Pediatric Dentistry. Pediatric Dentistry practices in Laredo, TX. The NPI Number for Pediatric Dentistry is 1720472707 and holds a License No. 11647 (Texas).

The current practice location address for Pediatric Dentistry is 1318 E Lane St, Laredo, TX and can be reached out via phone at 956-724-2712 and via fax at 956-724-2714.

Location: 1318 E Lane St, Laredo, TX, 78040-7211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720472707
Provider Name
Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
1318 E Lane St, Laredo, TX, 78040-7211
Phone Number
956-724-2712
Fax Number
956-724-2714
Provider Enumeration Date
03/26/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1154327344 05 TX
1750571139 05 TX
institution
Provider Business Practice Location Address Details
Address
1318 E Lane St
City
Laredo
State
Texas
Zip
78040-7211
Phone Number
956-724-2712
Fax Number
956-724-2714
person
Provider Business Mailing Address Details
Address
1318 E Lane St
City
Laredo
State
Texas
Zip
78040-7211
Phone Number
956-724-2712
Fax Number
956-724-2714
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
11647 (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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Felipe Heberto Esparza
NPI 1154327344
Pediatric Dentist
1318 E Lane St,
LAREDO, TX
78040-7211
956-724-2712
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