Provider Demographics
NPI:1669861175
Name:JUAN D. VILLARREAL SERIES PLLC- MCALLEN DENTAL CARE
Entity Type:Organization
Organization Name:JUAN D. VILLARREAL SERIES PLLC- MCALLEN DENTAL CARE
Other - Org Name:MCALLEN DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALANIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-428-5322
Mailing Address - Street 1:2019 W NOLANA AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4165
Mailing Address - Country:US
Mailing Address - Phone:956-971-9070
Mailing Address - Fax:956-971-9075
Practice Address - Street 1:2019 W NOLANA AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4165
Practice Address - Country:US
Practice Address - Phone:956-971-9070
Practice Address - Fax:956-971-9075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty