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Organization
CARDENAS DENTAL IMPLANTS AND ORAL SURGERY
Active
Organization
CARDENAS DENTAL IMPLANTS AND ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMEL GERARDO CARDENAS D.D.S (OWNER)
(956) 216-7570
Entity
Organization
Contact information
Practice address
5460 PAREDES LINE RD STE 197A, BROWNSVILLE, TX 78526-9742
(956) 216-7570
(956) 216-7571
Mailing address
2121 PEASE ST STE 314, HARLINGEN, TX 78550-8349
(956) 216-7570
(956) 216-7571
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
02/11/2020
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