Provider Demographics
NPI:1699381400
Name:HOLA DENTAL S DE RL DE CV
Entity Type:Organization
Organization Name:HOLA DENTAL S DE RL DE CV
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLALOBOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-413-5391
Mailing Address - Street 1:2016 E GARRISON ST STE 2-150
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-5068
Mailing Address - Country:US
Mailing Address - Phone:830-421-3320
Mailing Address - Fax:
Practice Address - Street 1:C. ZARAGOZA 603
Practice Address - Street 2:LOCAL B
Practice Address - City:PIEDRAS NEGRAS
Practice Address - State:COAHUILA
Practice Address - Zip Code:26000
Practice Address - Country:MX
Practice Address - Phone:830-421-3320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental