# ACCESS DENTAL OF RAYMONDVILLE PLLC

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

## Provider details

- **NPI number:** 1639775802
- **Authorized official:** ANDREA CARRILLO (DIRECTOR)
- **Authorized official phone:** (512) 920-3107

## Contact information

- **Practice address:** 652 S EXPRESSWAY 77, RAYMONDVILLE, TX 78580-4239
- **Practice address phone:** (956) 689-2153
- **Practice address fax:** (956) 689-1016
- **Mailing address:** 8150 SPRINGWOOD DR \# 150B, IRVING, TX 75063-5810
- **Mailing address phone:** (972) 514-1672

## Taxonomy

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

## Other

- **Enumeration date:** 12/11/2020
- **Last updated:** 12/11/2020