Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 27526 | TX |
NPI | 1033495510 |
---|---|
Provider Name | David Armando Delgado |
First Address | Hacienda Heights, CA 91745-2536 |
Second Address | Weslaco, TX 78596-6608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2011 |
Last Update Date | 27/10/2011 |