Organization
ACCESS DENTAL OF RAYMONDVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CARRILLO (DIRECTOR)
(512) 920-3107
Entity
Organization
Contact information
Practice address
652 S EXPRESSWAY 77, RAYMONDVILLE, TX 78580-4239
(956) 689-2153
(956) 689-1016
Mailing address
8150 SPRINGWOOD DR # 150B, IRVING, TX 75063-5810
(972) 514-1672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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