NPI 1629409586 · live from the CMS NPI Registry
Advanced Orthodontics And Oral Surgery Of Laredo
Dentist, Orthodontics and Dentofacial Orthopedics in Laredo, TX. National Provider Identifier 1629409586, active.
NPI record
| NPI | 1629409586 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 6801 Mcpherson Rd Ste 104, Suite 104, Laredo, TX 78041 |
| Practice phone | 956-791-2266 |
| Enumerated | December 3, 2013 |
| Last updated | December 3, 2013 |
| Authorized official | Enrique Hernandez, Orthodontist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.