Provider Demographics
NPI:1841847506
Name:HAPPY DENTAL SOLUTIONS
Entity type:Organization
Organization Name:HAPPY DENTAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TREVINO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-267-4983
Mailing Address - Street 1:110 CARDINAL LN
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-4150
Mailing Address - Country:US
Mailing Address - Phone:956-267-4983
Mailing Address - Fax:
Practice Address - Street 1:1820 JESUS CARRANZA
Practice Address - Street 2:
Practice Address - City:NUEVO LAREDO
Practice Address - State:TAMAULIPAS
Practice Address - Zip Code:88040
Practice Address - Country:MX
Practice Address - Phone:956-267-4983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAPPY DENTAL SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty