Organization
ENAMEL ONE DENTAL PLLC
Active
Other names
Galaxy Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS DOMENICO PERLASCA (CONSULTANT)
(214) 971-2568
Entity
Organization
Contact information
Practice address
5561 ALAMEDA AVE STE B, EL PASO, TX 79905-2915
(214) 971-2568
Mailing address
9540 GARLAND RD STE, STE 381 - #313, DALLAS, TX 75218-3471
(214) 971-2568
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25381
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760701833
NPPES
—
Enumeration date
06/13/2018
Last updated
06/13/2018
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