Individual
DR. ELVA VILLA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7002 MCPHERSON RD, SUITE 104, LAREDO, TX 78041-6418
(956) 725-5035
(956) 717-4106
Mailing address
7002 MCPHERSON RD, SUITE 104, LAREDO, TX 78041-6418
(956) 725-5035
(956) 717-4106
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
25077
TX
1223P0221X
Pediatric Dentistry
Primary
25077
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2009
Last updated
06/12/2012
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