OrganizationActive
Saint Joseph Oral & Maxillofacial
NPI 1104956630 · Oral and Maxillofacial Pathology Dentistry · Laredo, TX
Provider details
- NPI number
- 1104956630
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Authorized official
- Cesar Trevino, Owner
Practice location
1519 E Bustamante St
Suite B
Laredo, TX 78041-5305
Phone: (956) 795-1010
Fax: (956) 795-1040
Mailing address
1519 E Bustamante St
Laredo, TX 78041-5305
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.