Organization
ALAMEDA DENTAL CARE, PLLC
Active
Other names
Luna Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASIM N RAVARI DDS (MANAGER)
(915) 858-5862
Entity
Organization
Contact information
Practice address
100 S AMERICAS AVE, EL PASO, TX 79907-6901
(915) 858-5862
(844) 800-0070
Mailing address
100 S AMERICAS AVE, EL PASO, TX 79907-6901
(915) 858-5862
(844) 800-0070
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
26272
TX
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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