Organization
LAS PALMAS CHILDREN'S DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA DEJESUS RODRIGUEZ DDS (PRESIDENT/PEDIATRIC DENTIST)
(956) 787-3333
Entity
Organization
Contact information
Practice address
7013 SOUTH CAGE BLVD., SUITE A, PHARR, TX 78577
(956) 787-3333
(956) 787-7333
Mailing address
7013 SOUTH CAGE BLVD, SUITE A, PHARR, TX 78577
(956) 787-3333
(956) 787-7333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
14305
TX
1223P0221X
Pediatric Dentistry
Primary
20393
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190342901
—
TX
Enumeration date
01/13/2008
Last updated
01/23/2013
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