EL PASO PELLICANO FAMILY DENTISTRY NPI 1629663356

NPI Information

EL PASO PELLICANO FAMILY DENTISTRY is a dental clinic center in El Paso, TX. EL PASO PELLICANO FAMILY DENTISTRY NPI is 1629663356. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pellicano Family Dentistry.

The provider's business location address is:

11615 PELLICANO DR STE 100
EL PASO, TX
ZIP 79936-242
Phone: (915) 444-8006

The provider's authorized official is Jasvinder S Badwalz .
The authorized official title is Owner and has the following contact phone number (916) 747-8534.

The enumeration date for this NPI number is 3/4/2021 and was last updated on 7/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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