Provider Demographics
NPI:1013452994
Name:ANCIRA, CLAUDIA M (DDS)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:M
Last Name:ANCIRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 COUNTRY CLUB DR APT 5
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-7549
Mailing Address - Country:US
Mailing Address - Phone:956-763-2625
Mailing Address - Fax:
Practice Address - Street 1:1800 COUNTRY CLUB DR APT 5
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-7549
Practice Address - Country:US
Practice Address - Phone:956-763-2625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32501122300000X, 1223E0200X, 1223G0001X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No122300000XDental ProvidersDentist
No1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice