Provider Demographics
NPI:1356650840
Name:LA JOYA PEDIATRIC DENTISTRY
Entity Type:Organization
Organization Name:LA JOYA PEDIATRIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:MEGO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-854-4146
Mailing Address - Street 1:730 E EXPRESSWAY 83 STE 13
Mailing Address - Street 2:
Mailing Address - City:LA JOYA
Mailing Address - State:TX
Mailing Address - Zip Code:78560-3909
Mailing Address - Country:US
Mailing Address - Phone:956-581-8880
Mailing Address - Fax:956-581-8886
Practice Address - Street 1:730 E EXPRESSWAY 83 STE 13
Practice Address - Street 2:
Practice Address - City:LA JOYA
Practice Address - State:TX
Practice Address - Zip Code:78560-3909
Practice Address - Country:US
Practice Address - Phone:956-581-8880
Practice Address - Fax:956-581-8886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty