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General NPI Number Information
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NPI Number | 1770339004
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Entity Type | Organization
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Legal Business Name | RGV PERIODONTICS AND ORAL SURGERY PLLC
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 302 LORENALY DR STE C
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City | BROWNSVILLE
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State | TX
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Zip | 78526-4332
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Country | US
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Telephone | 956-203-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 302 LORENALY DR STE C
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City | BROWNSVILLE
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State | TX
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Zip | 78526-4332
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Country | US
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Telephone | 956-203-0550
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARTURO SALINAS JR.
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Credential | DDS
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Telephone | 956-203-0550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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