Organization
EDINBURG DENTISTRY AND ORTHODONTICS PLLC
Active
Other names
Palm Valley Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PAOLA RAMOS (CREDENTIALING COORDINATOR)
(972) 869-3789
Entity
Organization
Contact information
Practice address
4649 S JACKSON RD, EDINBURG, TX 78539-7794
(956) 627-3446
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29954
TX
Other
Enumeration date
04/09/2018
Last updated
09/30/2024
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