Organization
THE CHILDREN'S DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE M ANGELOS DMD (PRESIDENT)
(956) 428-2221
Entity
Organization
Contact information
Practice address
1717 E HARRISON AVE, HARLINGEN, TX 78550-7389
(956) 428-2221
(956) 423-4492
Mailing address
1717 E HARRISON AVE, HARLINGEN, TX 78550-7389
(956) 428-2221
(956) 423-4492
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17313
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126730402
—
TX
Enumeration date
12/27/2011
Last updated
12/27/2011
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