Organization
DE LA ROSA AND MARTINEZ DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA DE LA ROSA (OFFICE MANAGER)
(956) 399-4312
Entity
Organization
Contact information
Practice address
985 S SAM HOUSTON BLVD, SAN BENITO, TX 78586-3064
(956) 399-4312
(956) 399-9337
Mailing address
985 S SAM HOUSTON BLVD, SAN BENITO, TX 78586-3064
(956) 399-4312
(956) 399-9337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111234402
—
TX
05
—
198199501
—
TX
05
—
213449601
—
TX
05
—
335402901
—
TX
Enumeration date
03/15/2016
Last updated
03/15/2016
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