Provider Demographics
NPI:1316486863
Name:A&R ORTHODONTICS, PLLC
Entity type:Organization
Organization Name:A&R ORTHODONTICS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-324-3125
Mailing Address - Street 1:3402 E DEL MAR BLVD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6897
Mailing Address - Country:US
Mailing Address - Phone:956-568-5525
Mailing Address - Fax:956-568-5394
Practice Address - Street 1:3402 E DEL MAR BLVD
Practice Address - Street 2:SUITE 280
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6897
Practice Address - Country:US
Practice Address - Phone:956-568-5525
Practice Address - Fax:956-568-5394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31485261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental