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Organization
JULIO C DE LA FUENTE DDS PA
Active
Organization
JULIO C DE LA FUENTE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIO CESAR DE LA FUENTE JR. DDS (OWNER/PRESIDENT)
(956) 668-1780
Entity
Organization
Contact information
Practice address
5405 S MCCOLL RD, EDINBURG, TX 78539-9183
(956) 668-1780
(956) 668-1781
Mailing address
5405 S MCCOLL RD, EDINBURG, TX 78539-9183
(956) 668-1780
(956) 668-1781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19788
TX
Other
Enumeration date
10/18/2006
Last updated
10/13/2010
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