Organization
ADVANCED ORTHODONTICS AND ORAL SURGERY OF LAREDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE HERNANDEZ DDS (ORTHODONTIST)
(956) 791-2266
Entity
Organization
Contact information
Practice address
6801 MCPHERSON RD STE 104, SUITE 104, LAREDO, TX 78041-6403
(956) 791-2266
Mailing address
6801 MCPHERSON RD STE 104, SUITE 104, LAREDO, TX 78041-6403
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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