Agua Dentistry, Pllc

NPI 1194089771 - Dentist - 1223G0001X

NPI Details
NPI 1194089771
Enumeration Date 06/28/2012
Last Updated 06/28/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SHAHROUZ SHAHROUZ
Position DENTIST/OWNER
Phone (818) 968-6260
Fax
Practice Location
307 E UNIVERSITY DR
EDINBURG TX, 78539-3549, US
Phone (818) 968-6260
Fax
Business Location
307 E UNIVERSITY DR
EDINBURG TX, 78539-3549, US
Phone (818) 968-6260
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 25304
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According to our database, Agua Dentistry, Pllc NPI is 1194089771, taxonomy code is 1223G0001X and license number is 25304, license state is located at Texas. Agua Dentistry, Pllc physically located at 307 E University Dr, Edinburg TX, 78539-3549. NPI Number 1033115704 has the healthcare provider type.

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1194089771 NPI number is provided on an as is basis without warranty of any kind. 1194089771 is maintained by the National Plan & Provider Enumeration System. The contents of Agua Dentistry, Pllc are for informational purposes only.