Individual
DR. EDWIN OSMAND PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2260 LINDA AVE STE 103, ODESSA, TX 79763-2665
(432) 614-2246
Mailing address
2260 LINDA AVE STE 103, ODESSA, TX 79763-2665
(432) 614-2246
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38859
TX
Other
Enumeration date
04/12/2021
Last updated
08/30/2022
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