Advanced Orthodontics and Oral Surgery of Laredo

Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Laredo, TX

NPI 1629409586 · NPPES record last updated Dec 3, 2013

Key facts

NPI
1629409586
Entity type
Organization (NPI type 2)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
Legal business name
ADVANCED ORTHODONTICS AND ORAL SURGERY OF LAREDO
Practice address
6801 McPherson Rd Ste 104
Suite 104
Laredo, TX 78041-6403
Phone
(956) 791-2266
NPI assigned
Dec 3, 2013
Organization subpart
No

Authorized official

Name
Enrique Hernandez, DDS
Title
Orthodontist
Phone
(956) 791-2266

National Provider Directory

Locations

6801 McPherson Rd
Ste 104
Laredo, TX 78041
Phone (956) 791-2266

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)
Group: 193200000X MULTI-SPECIALTY GROUP
1223S0112X
Orthodontics and Dentofacial Orthopedics Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223X0400X Yes

Addresses

Primary practice location

6801 McPherson Rd Ste 104
Suite 104
Laredo, TX 78041-6403

Mailing address

6801 McPherson Rd Ste 104
Suite 104
Laredo, TX 78041-6403

Other providers in Laredo, TX

All providers in Laredo, TX · Orthodontics and Dentofacial Orthopedics Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.