Organization
ORTHOGENESIS INTERNATIONAL CENTRE SOUTH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELIA PATRICIA GARCIA-MORALES DDS, MSD (PRESIDENT)
(956) 717-9877
Entity
Organization
Contact information
Practice address
6410 MCPHERSON RD, SUITE 2, LAREDO, TX 78041-6191
(956) 717-9877
(956) 717-9881
Mailing address
6410 MCPHERSON RD, SUITE 2, LAREDO, TX 78041-6191
(956) 717-9877
(956) 717-9881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
20718
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20718
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160748301
—
TX
05
—
163924701
—
TX
Enumeration date
04/19/2007
Last updated
12/05/2012
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