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Organization
OCTAVIO MEJIA JR DDS
Active
Organization
OCTAVIO MEJIA JR DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OCTAVIO MEJIA JR. DDS (OWNER)
(956) 583-9880
Entity
Organization
Contact information
Practice address
2103 E GRIFFIN PARKWAY, SUITE A, MISSION, TX 78572
(956) 583-9880
(956) 583-1383
Mailing address
2103 E GRIFFIN PARKWAY, SUITE A, MISSION, TX 78572
(956) 583-9880
(956) 583-1383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19615
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B19615
CHIP
—
Enumeration date
11/09/2006
Last updated
08/22/2020
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