LUIS BENAVIDES

LAREDO, TX
NPI1124870225
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ZZ  1792535)
Enumeration Date2024-04-02
Last Update Date2024-04-02
Business Address
LUIS BENAVIDES
506 SHILOH DR APT 2
LAREDO, TX 78045-6715
Phone number: 619-831-0437
Mailing Address
LUIS BENAVIDES
710 E SAN YSIDRO BLVD STE 128
SAN YSIDRO, CA 92173-3123
Phone number: 619-831-0437