Organization
ELEGANZ DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUINCY ATTIPOE DDS (DIRECTOR)
(469) 231-4419
Entity
Organization
Contact information
Practice address
1618 N VETERANS BLVD, SUITE A, SAN JUAN, TX 78589-3216
(469) 231-4419
Mailing address
1618 N VETERANS BLVD, SUITE A, SAN JUAN, TX 78589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2
—
TX
Enumeration date
06/14/2016
Last updated
06/14/2016
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