# ENAMEL ONE DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Galaxy Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508359696
- **Authorized official:** ELIAS DOMENICO PERLASCA (CONSULTANT)
- **Authorized official phone:** (214) 971-2568

## Contact information

- **Practice address:** 5561 ALAMEDA AVE STE B, EL PASO, TX 79905-2915
- **Practice address phone:** (214) 971-2568
- **Mailing address:** 9540 GARLAND RD STE, STE 381 - \#313, DALLAS, TX 75218-3471
- **Mailing address phone:** (214) 971-2568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 25381 | TX | Yes |

## Other

- **Enumeration date:** 06/13/2018
- **Last updated:** 06/13/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1760701833 | NPPES | — |