Organization
ZARAGOZA DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOHEIL KHODADADI (MANAGER)
(915) 849-9000
Entity
Organization
Contact information
Practice address
1788 N ZARAGOZA RD, EL PASO, TX 79936-7909
(915) 849-9000
Mailing address
1788 N. ZARAGOZA RD., EL PASO, TX 79936
(915) 849-9000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
26298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679854210
NPI
TX
Enumeration date
09/08/2011
Last updated
02/28/2012
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