Individual
JUAN CARLOS LLARENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7002 NE ZAC LENTZ PKWY, VICTORIA, TX 77904-3450
(361) 214-3683
Mailing address
7002 NE ZAC LENTZ PKWY, VICTORIA, TX 77904-3450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22094
TX
1223P0221X
Pediatric Dentistry
Primary
22094
TX
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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