| Rodeo Dental & Orthodontics | |
|
1141 Us Business 77 Ste G San Benito TX 78586 | |
| (956) 361-3377 | |
| Not Available |
| Full Name | Rodeo Dental & Orthodontics |
|---|---|
| Speciality | Dentist |
| Location | 1141 Us Business 77, San Benito, Texas |
| Authorized Official Name and Position | Cynthia Gonzalez (OFFICE BILLER) |
| Authorized Official Contact | 9563613377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodeo Dental & Orthodontics 1141 Us Business 77 Ste G San Benito TX 78586 Ph: (956) 361-3377 | Rodeo Dental & Orthodontics 1141 Us Business 77 Ste G San Benito TX 78586 Ph: (956) 361-3377 |
| NPI Number | 1447660048 |
|---|---|
| Provider Enumeration Date | 05/05/2014 |
| Last Update Date | 05/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447660048 | NPI | - | NPPES |
| 1336495738 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28289 (Texas) | Primary |
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