Denta Dental of Odessa Pllc

NPI #1013633502 in Odessa, Texas

Provider Information

NPI Number: 1013633502
Entity Type: Organization
Organization Name: Denta Dental of Odessa Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 17, 2022
Last Updated: Jul 1, 2023

Practice Location

Address: 1508 N GRANDVIEW AVE STE 3
City: Odessa
State: Texas
ZIP Code: 79761-3040
Phone: (432) 367-8907

Authorized Official

Name: DR. LOI TA, DDS
Title: PRESIDENT
Phone: (901) 606-2355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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