Provider Demographics
NPI:1518414184
Name:DELTA OAKS DENTISTRY P.A.
Entity Type:Organization
Organization Name:DELTA OAKS DENTISTRY P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SENAIDO
Authorized Official - Middle Name:H
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-262-1083
Mailing Address - Street 1:PO BOX 96
Mailing Address - Street 2:
Mailing Address - City:ELSA
Mailing Address - State:TX
Mailing Address - Zip Code:78543-0096
Mailing Address - Country:US
Mailing Address - Phone:956-262-1083
Mailing Address - Fax:956-262-4988
Practice Address - Street 1:206 S. BROADWAY ST.
Practice Address - Street 2:
Practice Address - City:ELSA
Practice Address - State:TX
Practice Address - Zip Code:78543-0000
Practice Address - Country:US
Practice Address - Phone:956-262-1083
Practice Address - Fax:956-262-4988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX272681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty