| Professional Dental Group P.a. | |
|
1002 W Sam Houston Blvd Ste 6 Pharr TX 78577-5198 | |
| (956) 782-6767 | |
| (956) 782-6768 |
| Full Name | Professional Dental Group P.a. |
|---|---|
| Speciality | Dentist |
| Location | 1002 W Sam Houston Blvd Ste 6, Pharr, Texas |
| Authorized Official Name and Position | Iris Barrera (DENTIST) |
| Authorized Official Contact | 9567826767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Group P.a. 1002 W Sam Houston Blvd Ste 6 Pharr TX 78577-5198 Ph: (956) 782-6767 | Professional Dental Group P.a. 1002 W Sam Houston Blvd Ste 6 Pharr TX 78577-5198 Ph: (956) 782-6767 |
| NPI Number | 1508259706 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508259706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28917 (Texas) | Secondary |
| 122300000X | Dentist | 29092 (Texas) | Secondary |
| 122300000X | Dentist | 22574 (Texas) | Primary |
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