MEDICARE: ALL VALLEY DENTAL 3 LLP

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	22342	TX

General Provider Information

NPI Number	:	1831434539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL VALLEY DENTAL 3 LLP

Provider Business Mailing Address
First Line	:	3004 N CLOSNER BLVD STE C
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78541-7292
Country	:	US
Telephone Number	:	956-330-8897
Fax Number	:

Provider Business Practice Location Address
First Line	:	3004 N CLOSNER BLVD STE C
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78541-7292
Country	:	US
Telephone Number	:	956-330-8897
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PARTNER
Name	:	AARON N UNTERBRINK
Credential	:	DDS
Telephone Number	:	956-330-8897

Provider Enumeration Date	:	12/06/2012
Last Update Date	:	05/23/2023

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