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Organization

JUDITH JONES DDS PLLC

Active
Other names
Children's Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELMA MOYA-FONSECA RDA (OFFICE MANAGER)
(956) 682-1284
Entity
Organization

Contact information

Practice address
1801 S 5TH ST, SUITE 112, MCALLEN, TX 78503-2927
(956) 682-1284
(956) 687-8373
Mailing address
1801 S 5TH ST, SUITE 112, MCALLEN, TX 78503-2927
(956) 682-1284
(956) 687-8373

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
15380
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164434106
TX
05
1588694301
TX
Enumeration date
11/01/2011
Last updated
11/01/2011
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