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Access Dental Of Raymondville PLLC

Dentist, General Practice in Raymondville, TX. Organization (NPI-2).

NPI number1639775802
StatusActive
Last updated in NPPESDec 11, 2020

Details

NPI
1639775802
Entity type
Organization (NPI-2)
Legal business name
Access Dental Of Raymondville PLLC
Organization subpart
No
Enumeration date
Dec 11, 2020
Certification date
Dec 11, 2020
Last updated
Dec 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

652 S Expressway 77
Raymondville, TX 78580-4239

Phone 956-689-2153 · Fax 956-689-1016

Mailing address

8150 Springwood Dr # 150b
Irving, TX 75063-5810

Phone 972-514-1672

Authorized official

Andrea Carrillo
Director
5129203107

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