# AEGIS DENTAL MANAGEMENT LLC

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

## Provider details

- **NPI number:** 1528653326
- **Authorized official:** DR. JOSE L VILLARREAL DDS (OWNER)
- **Authorized official phone:** (956) 537-9933

## Contact information

- **Practice address:** 1203 N RAUL LONGORIA RD, SAN JUAN, TX 78589-3741
- **Practice address phone:** (956) 787-4840
- **Mailing address:** 1203 N RAUL LONGORIA RD, SAN JUAN, TX 78589-3741
- **Mailing address phone:** (956) 787-4840

## Taxonomy

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

## Other

- **Enumeration date:** 03/03/2021
- **Last updated:** 03/03/2021