# FIESTA DENTAL PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174922504
- **Authorized official:** TEJAL DHANANI (OWNER)
- **Authorized official phone:** (682) 234-4603

## Contact information

- **Practice address:** 166 MENEFEE ST, SUITE C, HONDO, TX 78861
- **Practice address phone:** (201) 920-6343
- **Mailing address:** 166 MENEFEE ST, SUITE C, HONDO, TX 78861
- **Mailing address phone:** (617) 913-2151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 25831 | TX | Yes |

## Other

- **Enumeration date:** 08/21/2014
- **Last updated:** 08/12/2015