| El Paso Pellicano Family Dentistry | |
|
10039 Dyer St El Paso TX 79924-4136 | |
| (915) 759-7000 | |
| Not Available |
| Full Name | El Paso Pellicano Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10039 Dyer St, El Paso, Texas |
| Authorized Official Name and Position | Jasvinder Badwalz (OWNER DENTIST) |
| Authorized Official Contact | 9167478534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Paso Pellicano Family Dentistry 10039 Dyer St El Paso TX 79924-4136 Ph: (915) 759-7000 | El Paso Pellicano Family Dentistry 10039 Dyer St El Paso TX 79924-4136 Ph: (915) 759-7000 |
| NPI Number | 1770396798 |
|---|---|
| Provider Enumeration Date | 01/31/2025 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770396798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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