Provider Demographics
NPI:1598855785
Name:CARDENAS, OMEL GERARDO (DDS)
Entity Type:Individual
Prefix:DR
First Name:OMEL
Middle Name:GERARDO
Last Name:CARDENAS
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:MEDICAL ARTS PAVILION 2121 PEASE ST. STE 314
Mailing Address - Street 2:CARDENAS DENTAL IMPLANT AND ORAL SURGERY
Mailing Address - City:HARLINGON
Mailing Address - State:TX
Mailing Address - Zip Code:78550
Mailing Address - Country:US
Mailing Address - Phone:956-216-7570
Mailing Address - Fax:956-216-7571
Practice Address - Street 1:MEDICAL ARTS PAVILION 2121 PEASE ST. STE 314
Practice Address - Street 2:CARDENAS DENTAL IMPLANT AND ORAL SURGERY
Practice Address - City:HARLINGON
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-216-7570
Practice Address - Fax:956-216-7571
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2016-12-29
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Provider Licenses
StateLicense IDTaxonomies
TX204311223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery