| Trinity Dental | |
|
4311 Clark Blvd Ste O Laredo TX 78043-4167 | |
| (956) 539-2979 | |
| (832) 532-1904 |
| Full Name | Trinity Dental |
|---|---|
| Speciality | Dentist |
| Location | 4311 Clark Blvd Ste O, Laredo, Texas |
| Authorized Official Name and Position | Ruben Lopez (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8326487632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Dental 507 N Sam Houston Pkwy E Ste 555 Houston TX 77060-4021 Ph: (832) 648-7632 | Trinity Dental 4311 Clark Blvd Ste O Laredo TX 78043-4167 Ph: (956) 539-2979 |
| NPI Number | 1801497532 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801497532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
| 1223G0001X | Dentist - General Practice | (NU) | Secondary |
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