Individual
LUIS A CERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
191 E PRICE RD, BROWNSVILLE, TX 78521-3527
(956) 548-7400
(956) 621-3689
Mailing address
191 E PRICE RD, BROWNSVILLE, TX 78521-3527
(956) 548-7400
(956) 621-3689
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
14366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14366
DENTAL HYGIENIST LICENSE
TX
Enumeration date
07/01/2013
Last updated
07/01/2013
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