| Saint Paul General Dentistry P.a. | |
|
1519 E Bustamante St Ste C Laredo TX 78041-5305 | |
| (956) 795-1010 | |
| (956) 795-1040 |
| Full Name | Saint Paul General Dentistry P.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1519 E Bustamante St Ste C, Laredo, Texas |
| Authorized Official Name and Position | Rolando Salazar (OWNER) |
| Authorized Official Contact | 9567951010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Paul General Dentistry P.a. 1519 E Bustamante St Ste C Laredo TX 78041-5305 Ph: (956) 795-1010 | Saint Paul General Dentistry P.a. 1519 E Bustamante St Ste C Laredo TX 78041-5305 Ph: (956) 795-1010 |
| NPI Number | 1093946329 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 08/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093946329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21354 (Texas) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 21354 (Texas) | Primary |
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