North Riverside Dental, P.a.

NPI #1518152412 in Mcallen, Texas

Provider Information

NPI Number: 1518152412
Entity Type: Organization
Organization Name: North Riverside Dental, P.a.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 13, 2007
Last Updated: Sep 13, 2007

Practice Location

Address: 5717 N 10TH ST
Address 2: SUITE #E
City: Mcallen
State: Texas
ZIP Code: 78504-2611
Phone: (956) 618-2881

Authorized Official

Name: DR. JOSE LUIS VILLARREAL, DDS
Title: PRESIDENT
Phone: (956) 618-2881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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