Organization
WESLACO DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGIO GUZMAN DDS (PEDIATRIC DENTIST/OWNER)
(956) 537-6764
Entity
Organization
Contact information
Practice address
1124 E 8TH ST, WESLACO, TX 78596-7152
(956) 537-6764
Mailing address
1124 E 8TH ST, WESLACO, TX 78596-7152
(956) 537-6764
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22644
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802577760
—
TX
Enumeration date
11/18/2016
Last updated
11/29/2016
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