Organization
GUERRA DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS OTHON GUERRA III D.D.S. (OWNER)
(956) 585-1250
Entity
Organization
Contact information
Practice address
207 NORTH BRYAN ROAD, MISSION, TX 78572
(956) 585-1250
(956) 585-1257
Mailing address
6213 N. 1ST LANE, MCALLEN, TX 78504
(956) 878-6691
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21734
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171723301
—
TX
Enumeration date
08/07/2006
Last updated
02/03/2009
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