El Paso Pellicano Family Dentistry
El Paso Pellicano Family Dentistry is an Oral Medicine Dentistry in El Paso, Texas. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
11615 Pellicano Dr Ste 100El Paso, TX 79936-6242
Phone: (915) 444-8006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|---|
| Oral Medicine Dentistry | Taxonomy 125Q00000X |
Record details
| NPI number | 1629663356 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jasvinder Badwalz — Owner · (916) 747-8534 |
| Other names | Pellicano Family Dentistry; Pellicano Family Dentistry |
| NPI enumerated | March 4, 2021 |
| Last updated in NPPES | July 26, 2022 |
| Certification date | July 26, 2022 |
| Mailing address | 11615 Pellicano Dr Ste 100, El Paso, TX 79936-6242 |