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Organization
ENAMEL ONE DENTAL PLLC
Active
Organization
ENAMEL ONE DENTAL PLLC
Active
Other names
Galaxy Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS DOMENICO PERLASCA (CONSULTANT)
(214) 971-2568
Entity
Organization
Contact information
Practice address
5561 ALAMEDA AVE STE B, EL PASO, TX 79905-2915
(214) 971-2568
Mailing address
9540 GARLAND RD STE, STE 381 - #313, DALLAS, TX 75218-3471
(214) 971-2568
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25381
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760701833
NPPES
—
Enumeration date
06/13/2018
Last updated
06/13/2018
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