Provider Demographics
NPI:1992434666
Name:PRUNEDA, CLAUDIA ALEJANDRA (DDS)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:ALEJANDRA
Last Name:PRUNEDA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 LORENA CT
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-9529
Mailing Address - Country:US
Mailing Address - Phone:956-802-5322
Mailing Address - Fax:
Practice Address - Street 1:930 E EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1613
Practice Address - Country:US
Practice Address - Phone:956-540-7825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38481122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist