Organization
FIESTA DENTAL-HONDO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEE SEMERA (CREDENTIALING)
(469) 556-9000
Entity
Organization
Contact information
Practice address
166 MENEFEE ST STE C, HONDO, TX 78861-3713
(830) 426-2255
(830) 426-2269
Mailing address
1261 W GREEN OAKS BLVD STE 101, ARLINGTON, TX 76013-8349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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