Organization
PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELIPE H ESPARZA DDS, MPH (PEDIATRIC DENTIST)
(956) 724-2712
Entity
Organization
Contact information
Practice address
1318 E LANE ST, LAREDO, TX 78040-7211
(956) 724-2712
(956) 724-2714
Mailing address
1318 E LANE ST, LAREDO, TX 78040-7211
(956) 724-2712
(956) 724-2714
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11647
TX
1223P0221X
Pediatric Dentistry
23479
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154327344
—
TX
05
—
1750571139
—
TX
Enumeration date
03/26/2015
Last updated
03/26/2015
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