Imagine Dental Of South Laredo
LBN: Community Dental Outreach, Pllc
Imagine Dental Of South Laredo is an health care organization with primary practice located at 3507 Jaime Zapata Memorial Hwy Ste 3 , Laredo TX 78043-4769. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Community Dental Outreach, Pllc can be contacted via phone (972) 832-7825, or through Richens, Bradley via phone (972) 832-7825.
Contact Information
Primary practice address
3507 Jaime Zapata Memorial Hwy Ste 3
Laredo TX 78043-4769
Phone: (972) 832-7825
Fax:
Website:
Authorized official contact:
Name: Richens, Bradley Doctor of Dental Surgery (DDS)
Phone: (972) 832-7825
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X |
Profile Details
| NPI number | 1447690276 |
|---|---|
| LBN Legal business name | Community Dental Outreach, Pllc |
| DBA Doing business as | Imagine Dental Of South Laredo |
| Authorized official | Richens, Bradley Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 25th, 2013 |
| Last updated | Jun 25th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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