Organization
SWIFT DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LUIS VILLARREAL DDS (PRESIDENT)
(956) 537-9933
Entity
Organization
Contact information
Practice address
1700 W DOVE AVE, MCALLEN, TX 78504-4463
(956) 537-9933
Mailing address
1700 W DOVE AVE, MCALLEN, TX 78504-4463
(956) 537-9933
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18068
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
12/17/2018
Last updated
12/06/2021
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