| Pediatric Dentistry | |
|
1318 E Lane St Laredo TX 78040-7211 | |
| (956) 724-2712 | |
| (956) 724-2714 |
| Full Name | Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1318 E Lane St, Laredo, Texas |
| Authorized Official Name and Position | Felipe H Esparza (PEDIATRIC DENTIST) |
| Authorized Official Contact | 9567242712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry 1318 E Lane St Laredo TX 78040-7211 Ph: (956) 724-2712 | Pediatric Dentistry 1318 E Lane St Laredo TX 78040-7211 Ph: (956) 724-2712 |
| NPI Number | 1720472707 |
|---|---|
| Provider Enumeration Date | 03/26/2015 |
| Last Update Date | 03/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720472707 | NPI | - | NPPES |
| 1154327344 | Medicaid | TX | |
| 1750571139 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 11647 (Texas) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 23479 (Texas) | Secondary |
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