Organization
EL PASO PELLICANO FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASVINDER BADWALZ DMD (OWNER DENTIST)
(916) 747-8534
Entity
Organization
Contact information
Practice address
10039 DYER ST, EL PASO, TX 79924-4136
(915) 759-7000
Mailing address
10039 DYER ST, EL PASO, TX 79924-4136
(915) 759-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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