Identist, Pllc

NPI #1679358345 in Mcallen, Texas

Provider Information

NPI Number: 1679358345
Entity Type: Organization
Organization Name: Identist, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 30, 2023
Last Updated: Aug 30, 2023

Practice Location

Address: 825 W DOVE AVE
City: Mcallen
State: Texas
ZIP Code: 78504-3508
Phone: (956) 855-5000

Authorized Official

Name: STEVEN LEE, DDS
Title: MANAGER
Phone: (956) 369-0080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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