Organization
PARAISO DENTAL PLLC
Active
Other names
Paraiso Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE LUIKHAM (DENTIST)
(956) 783-7070
Entity
Organization
Contact information
Practice address
1618 N VETERANS BLVD SUITE A, SAN JUAN, TX 78589
(706) 461-1631
(956) 781-7000
Mailing address
6708 W.MILE 7 RD., MISSION, TX 78574
(956) 783-7070
(956) 781-7000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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