Organization
RIO GRANDE VALLEY CHILDREN'S DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESUS HECTOR TREVINO JR. DDS (DENTIST/PRESIDENT)
(956) 781-8880
Entity
Organization
Contact information
Practice address
413 W SAM HOUSTON BLVD, PHARR, TX 78577-5349
(956) 781-8880
(956) 781-8977
Mailing address
413 W SAM HOUSTON BLVD, PHARR, TX 78577-5349
(956) 781-8880
(956) 781-8977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161103001
—
TX
Enumeration date
10/19/2006
Last updated
07/15/2010
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