Provider Demographics
NPI:1801094909
Name:LOAR, ROBERTO N (DDS)
Entity type:Individual
Prefix:
First Name:ROBERTO
Middle Name:N
Last Name:LOAR
Suffix:
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 1:5220 MCPHERSON RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-7323
Mailing Address - Country:US
Mailing Address - Phone:956-568-6690
Mailing Address - Fax:
Practice Address - Street 1:5220 MCPHERSON RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-7323
Practice Address - Country:US
Practice Address - Phone:956-568-6690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX233371223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry