Organization
DANIEL L. DREFKE, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL LEWIS DREFKE (DENTIST/ OWNER)
(956) 781-0031
Entity
Organization
Contact information
Practice address
1104 W SAM HOUSTON BLVD STE A, PHARR, TX 78577-5104
(956) 781-0031
(956) 781-0202
Mailing address
1104 W SAM HOUSTON BLVD STE A, PHARR, TX 78577-5104
(956) 781-0031
(956) 781-0202
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111230202
—
TX
Enumeration date
03/25/2014
Last updated
03/25/2014
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