# MAXILLOFACIAL PROSTHETICS & IMPLANT DENTISTRY PC

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

## Provider details

- **NPI number:** 1689827933
- **Authorized official:** DR. DOMINGO VALADEZ DDS MSD (DDS MSD)
- **Authorized official phone:** (956) 630-2702

## Contact information

- **Practice address:** 5529 N MCCOLL RD, MCALLEN, TX 78504-2244
- **Practice address phone:** (956) 630-2702
- **Practice address fax:** (956) 630-2703
- **Mailing address:** 5529 N MCCOLL RD, MCALLEN, TX 78504-2244
- **Mailing address phone:** (956) 630-2702
- **Mailing address fax:** (956) 630-2703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 16880 | TX | Yes |

## Other

- **Enumeration date:** 10/30/2008
- **Last updated:** 10/30/2008