Provider Demographics
NPI:1306608054
Name:MOLINA FAMILY DENTISTRY, PA
Entity type:Organization
Organization Name:MOLINA FAMILY DENTISTRY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINA
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-725-4411
Mailing Address - Street 1:101 W HILLSIDE RD STE 7
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-3181
Mailing Address - Country:US
Mailing Address - Phone:956-725-4411
Mailing Address - Fax:956-725-2235
Practice Address - Street 1:101 W HILLSIDE RD STE 7
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-3181
Practice Address - Country:US
Practice Address - Phone:956-725-4411
Practice Address - Fax:956-725-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental