Provider Demographics
NPI:1609100999
Name:PAZ, DAVID A SR (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:PAZ
Suffix:SR
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 1:702 SHERRYL AVE
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-8218
Mailing Address - Country:US
Mailing Address - Phone:956-451-6343
Mailing Address - Fax:
Practice Address - Street 1:DENTAL CARE CENTER
Practice Address - Street 2:RIO HONDO 590 COLONIA DEL PRADO
Practice Address - City:REYNOSA
Practice Address - State:TAMAULIPAS
Practice Address - Zip Code:88560
Practice Address - Country:MX
Practice Address - Phone:956-451-6343
Practice Address - Fax:866-615-5013
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-20
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ2747951122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist