Organization
ORTHOGENESIS INTERNATIONAL CENTRE NORTH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELIA PATRICIA GARCIA-MORALES DDS, MSD, PHD (OWNER)
(956) 717-9877
Entity
Organization
Contact information
Practice address
6410 MCPHERSON RD, SUITE 2, LAREDO, TX 78041-6191
(956) 717-9877
Mailing address
6410 MCPHERSON RD, SUITE 2, LAREDO, TX 78041-6191
(956) 717-9877
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
20492
TX
122300000X
Dentist
20718
TX
1223P0221X
Pediatric Dentistry
20718
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
20492
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20718
TX
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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