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Organization
MCCOLL DENTAL CENTER
Active
Organization
MCCOLL DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSI MENENDEZ (OFFICE MANAGER)
(956) 316-1582
Entity
Organization
Contact information
Practice address
1314 S MCCOLL RD, EDINBURG, TX 78539-7989
(956) 316-1582
(956) 380-1176
Mailing address
1314 S MCCOLL RD, EDINBURG, TX 78539-7989
(956) 316-1582
(956) 380-1176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156783601
—
TX
01
—
B1596701
CHIP DENTAL SERVICES
TX
Enumeration date
07/28/2008
Last updated
07/28/2008
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