Provider Demographics
NPI:1578016663
Name:MOLINA, ARTURO JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:
Last Name:MOLINA
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2439 MONARCH DR UNIT 4
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-6840
Mailing Address - Country:US
Mailing Address - Phone:956-723-1230
Mailing Address - Fax:956-712-0702
Practice Address - Street 1:2439 MONARCH DR UNIT 4
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6840
Practice Address - Country:US
Practice Address - Phone:956-723-1230
Practice Address - Fax:956-712-0702
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice