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Organization
PECOS DENTAL PC
Active
Organization
PECOS DENTAL PC
Active
Other names
Pecos Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABHISHEK RUPARELIA (OWNER)
(432) 445-3333
Entity
Organization
Contact information
Practice address
800 W 3RD ST, PECOS, TX 79772-2917
(432) 445-3333
Mailing address
800 W 3RD ST, PECOS, TX 79772-2917
(432) 445-3333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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