Organization
LAREDO LHPD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEGRA VIRELLA DMD (PEDIATRIC DENTIST)
(215) 205-5516
Entity
Organization
Contact information
Practice address
5220 MCPHERSON RD STE 101, LAREDO, TX 78041-7323
(773) 910-1078
Mailing address
7029 N 1ST ST, MCALLEN, TX 78504-1929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24607
TX
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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