Provider First Line Business Practice Location Address:
DENTAL CARE CENTER
Provider Second Line Business Practice Location Address:
RIO HONDO 590 COLONIA DEL PRADO
Provider Business Practice Location Address City Name:
REYNOSA
Provider Business Practice Location Address State Name:
TAMAULIPAS
Provider Business Practice Location Address Postal Code:
88560
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
956-451-6343
Provider Business Practice Location Address Fax Number:
866-615-5013
Provider Enumeration Date:
09/20/2009