# FAMILY DENTALAND, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kids Dentaland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790044501
- **Authorized official:** DR. MIGUEL E MEGO D.D.S., M.S. (PRESIDENT)
- **Authorized official phone:** (956) 928-0022

## Contact information

- **Practice address:** 3401 W. MILE 5 ROAD, SUITE 3, MISSION, TX 78574
- **Practice address phone:** (956) 583-2077
- **Practice address fax:** (956) 583-2272
- **Mailing address:** 3401 W. MILE 5 ROAD, SUITE 3, MISSION, TX 78574
- **Mailing address phone:** (956) 583-2077
- **Mailing address fax:** (956) 583-2272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | 25382 | TX | Yes |

## Other

- **Enumeration date:** 05/14/2012
- **Last updated:** 05/14/2012