Organization
NORTH RIVERSIDE DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LUIS VILLARREAL DDS (PRESIDENT)
(956) 618-2881
Entity
Organization
Contact information
Practice address
5717 N 10TH ST, SUITE #E, MCALLEN, TX 78504-2611
(956) 618-2881
(956) 618-3118
Mailing address
5717 N 10TH ST, SUITE #E, MCALLEN, TX 78504-2611
(956) 618-2881
(956) 618-3118
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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