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Organization
ULYSSES DENTAL GROUP, PA
Active
Organization
ULYSSES DENTAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE VILLARREAL SR. DDS (PRESIDENT)
(956) 537-9933
Entity
Organization
Contact information
Practice address
4626 S CLOSNER BLVD, EDINBURG, TX 78539-7279
(956) 537-9933
(956) 618-3118
Mailing address
4626 S CLOSNER BLVD, EDINBURG, TX 78539-7279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18068
TX
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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