Mustang Pediatric Dentistry
NPI #1184272429 in Rio Grande City, Texas
Provider Information
- NPI Number
- 1184272429
- Entity Type
- Organization
- Organization Name
- Mustang Pediatric Dentistry
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 29, 2019
- Last Updated
- Aug 30, 2019
Practice Location
- Address
- 204 E 2ND ST
- City
- Rio Grande City
- State
- Texas
- ZIP Code
- 78582-3804
- Phone
- (956) 992-1900
Authorized Official
- Name
- TRAVIS CORWIN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (956) 992-1900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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