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Organization
RODEO DENTAL & ORTHODONTICS
Active
Organization
RODEO DENTAL & ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA GONZALEZ (OFFICE BILLER)
(956) 361-3377
Entity
Organization
Contact information
Practice address
1141 US BUSINESS 77, STE G, SAN BENITO, TX 78586
(956) 361-3377
Mailing address
1141 US BUSINESS 77, STE G, SAN BENITO, TX 78586
(956) 361-3377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28289
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336495738
—
TX
Enumeration date
05/05/2014
Last updated
05/05/2014
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