Organization
MOHAMMED SUBHANI PA
Active
Other names
RGV Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED AHMED SUBHANI DDS (CEO)
(210) 749-0974
Entity
Organization
Contact information
Practice address
1601 W. TRENTON, SUITE J, EDINBURG, TX 78539
(210) 749-0974
Mailing address
705 WISTERIA AVE, MCALLEN, TX 78504-2839
(210) 749-0974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
27036
TX
1223P0221X
Pediatric Dentistry
Primary
27910
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
22238
TX
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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