Provider Demographics
NPI:1386489193
Name:AGUIRRES DENTURES AND ORTHODONTICS PLLC
Entity type:Organization
Organization Name:AGUIRRES DENTURES AND ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JJOSE
Authorized Official - Middle Name:EDUARDO
Authorized Official - Last Name:AGUIRRE-HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:210-669-2343
Mailing Address - Street 1:2020 BABCOCK RD STE 20
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4438
Mailing Address - Country:US
Mailing Address - Phone:210-669-2343
Mailing Address - Fax:210-465-9311
Practice Address - Street 1:2020 BABCOCK RD STE 20
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4438
Practice Address - Country:US
Practice Address - Phone:210-669-2343
Practice Address - Fax:210-465-9311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental