# PARAISO DENTAL PLLC

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

## Provider details

- **NPI number:** 1558741553
- **Authorized official:** DR. GEORGE LUIKHAM (DENTIST)
- **Authorized official phone:** (956) 783-7070

## Contact information

- **Practice address:** 1618 N VETERANS BLVD SUITE A, SAN JUAN, TX 78589
- **Practice address phone:** (706) 461-1631
- **Practice address fax:** (956) 781-7000
- **Mailing address:** 6708 W.MILE 7 RD., MISSION, TX 78574
- **Mailing address phone:** (956) 783-7070
- **Mailing address fax:** (956) 781-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2015
- **Last updated:** 06/04/2015