| Vista Dental | |
|
2717 York Ave Mcallen TX 78504-2185 | |
| (909) 645-3066 | |
| Not Available |
| Full Name | Vista Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2717 York Ave, Mcallen, Texas |
| Authorized Official Name and Position | Jerome Mendiola Ocampo (OWNER) |
| Authorized Official Contact | 9096453066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Dental 2717 York Ave Mcallen TX 78504 Ph: (909) 645-3066 | Vista Dental 2717 York Ave Mcallen TX 78504-2185 Ph: (909) 645-3066 |
| NPI Number | 1942558077 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 09/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942558077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 26106 (Texas) | Primary |
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