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Contact Information

SERAPIO DE LA ROSA JR, DDS
985 SOUTH SAM HOUSTON
SAN BENITO, TX78586
 Phone: 956-399-4312
 Fax: 956-399-9337
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for SERAPIO DE LA ROSA JR · (Male)

NPI # 1013010453
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/07/2006
Last updated 04/23/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 14393
  • TX Medicaid TPI111234402
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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