# EL PASO PELLICANO FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ZARAGOZA FAMILY DENTISTRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235904632
- **Authorized official:** DR. JASVINDER BADWALZ DDS (OWNER/DENTIST)
- **Authorized official phone:** (916) 747-8534

## Contact information

- **Practice address:** 1920 N ZARAGOZA RD STE 107, EL PASO, TX 79938-4656
- **Practice address phone:** (915) 856-1771
- **Practice address fax:** (915) 856-1772
- **Mailing address:** 1920 N ZARAGOZA RD STE 107, EL PASO, TX 79938-4656
- **Mailing address phone:** (915) 856-1771
- **Mailing address fax:** (915) 856-1772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2023
- **Last updated:** 11/16/2023