# ELEGANZ DENTISTRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619327228
- **Authorized official:** DR. QUINCY ATTIPOE DDS (DIRECTOR)
- **Authorized official phone:** (469) 231-4419

## Contact information

- **Practice address:** 1618 N VETERANS BLVD, SUITE A, SAN JUAN, TX 78589-3216
- **Practice address phone:** (469) 231-4419
- **Mailing address:** 1618 N VETERANS BLVD, SUITE A, SAN JUAN, TX 78589

## Taxonomy

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

## Other

- **Enumeration date:** 06/14/2016
- **Last updated:** 06/14/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2 | — | TX |