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NPI Code Detail

MEDICARE: DR. ALEGRA VIRELLA DMD

MEDICARE:  DR. ALEGRA  VIRELLA  DMD
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
11223G0001XGeneral Practice Dentistry24607TX
21223G0001XGeneral Practice DentistryDS036701PA
31223P0221XPediatric Dentistry24607TX

General Provider Information

NPI Number : 1982735361
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEGRA VIRELLA DMD
Provider Business Mailing Address
First Line : 3313 E COBBLESTONE CREEK DR
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-7416
Country : US
Telephone Number : 215-205-5516
Fax Number :
Provider Business Practice Location Address
First Line : 995 N DICK DOWLING ST
Second Line :
City : SAN BENITO
State : TX
Zip : 78586-5219
Country : US
Telephone Number : 956-399-1889
Fax Number : 956-399-1878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 07/20/2016

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Directions to “ DR. ALEGRA VIRELLA DMD” Practice Location

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