# FIESTA DENTAL-HONDO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235602830
- **Authorized official:** TEE SEMERA (CREDENTIALING)
- **Authorized official phone:** (469) 556-9000

## Contact information

- **Practice address:** 166 MENEFEE ST STE C, HONDO, TX 78861-3713
- **Practice address phone:** (830) 426-2255
- **Practice address fax:** (830) 426-2269
- **Mailing address:** 1261 W GREEN OAKS BLVD STE 101, ARLINGTON, TX 76013-8349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2019
- **Last updated:** 01/07/2019