Organization
CANALES DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMAS ADOLFO CANALES DDS (DENTIST PRESIDENT)
(956) 565-1711
Entity
Organization
Contact information
Practice address
1001 HIGHLAND PARK, SUITE G, MISSION, TX 78572
(956) 585-1711
(956) 584-8529
Mailing address
1001 HIGHLAND PARK, SUITE G, MISSION, TX 78572
(956) 585-1711
(956) 584-8529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14908
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B1490801
DELTA DENTAL TX-60
TX
Enumeration date
09/12/2006
Last updated
08/22/2020
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