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Organization
PHDC, PLLC
Active
Organization
PHDC, PLLC
Active
Other names
Pebble Hills Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
CASIE GARCIA (BILLING OPERATIONS)
(915) 219-4713
Entity
Organization
Contact information
Practice address
11680 PEBBLE HILLS BLVD STE 102, EL PASO, TX 79936-1091
(915) 271-4154
Mailing address
10510 MONTWOOD DR STE A, EL PASO, TX 79935-2717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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