MEDICARE: DR. ARTURO MOLINA JR. D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	32038	TX

General Provider Information

NPI Number	:	1578016663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTURO MOLINA JR. D.D.S.

Provider Business Mailing Address
First Line	:	2439 MONARCH DR UNIT 4
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78045-6840
Country	:	US
Telephone Number	:	956-723-1230
Fax Number	:	956-712-0702

Provider Business Practice Location Address
First Line	:	2439 MONARCH DR UNIT 4
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78045-6840
Country	:	US
Telephone Number	:	956-723-1230
Fax Number	:	956-712-0702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2016
Last Update Date	:	07/26/2016

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