Organization
LITTLE MANHATTAN PEDIATRIC DENTISTRY,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGIO IVAN GUZMAN (PEDIATRIC DENTIST)
(956) 607-0732
Entity
Organization
Contact information
Practice address
423 W. HIGHWAY 495, SAN JUAN, TX 78589-9998
(956) 537-6764
Mailing address
423 W. HIGHWAY 495, SAN JUAN, TX 78589-9998
(956) 537-6764
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22644
TX
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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