| Pellicano Family Dentistry PLLC | |
|
11615 Pellicano Dr # 100 El Paso TX 79936-6242 | |
| (915) 444-8006 | |
| Not Available |
| Full Name | Pellicano Family Dentistry PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11615 Pellicano Dr # 100, El Paso, Texas |
| Authorized Official Name and Position | Lupita Mendoza (OFFICE MANAGER) |
| Authorized Official Contact | 2146166148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pellicano Family Dentistry PLLC 11615 Pellicano Dr # 100 El Paso TX 79936-6242 Ph: (915) 444-8006 | Pellicano Family Dentistry PLLC 11615 Pellicano Dr # 100 El Paso TX 79936-6242 Ph: (915) 444-8006 |
| NPI Number | 1407413594 |
|---|---|
| Provider Enumeration Date | 05/23/2019 |
| Last Update Date | 05/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407413594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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