Organization
AMERICA DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR HUGO JUAREZ (OWNER)
(830) 752-0686
Entity
Organization
Contact information
Practice address
269 N CEYLON ST, EAGLE PASS, TX 78852-4807
(830) 752-0686
(866) 211-8139
Mailing address
PO BOX 5866, EAGLE PASS, TX 78853-5866
(830) 752-0686
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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