Organization
SOL SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL K VUGGAM DMD (DENTIST)
(857) 205-5176
Entity
Organization
Contact information
Practice address
5500 DONIPHAN DR STE G, EL PASO, TX 79932-1455
(857) 205-5176
Mailing address
5500 DONIPHAN DR STE G, EL PASO, TX 79932-1455
(857) 205-5176
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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