DR. Edwin Osmand Peralta, D.D.S

NPI #1164002390 in Odessa, Texas

Provider Information

NPI Number: 1164002390
Entity Type: Individual
Name: DR. Edwin Osmand Peralta, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Apr 12, 2021
Last Updated: Aug 30, 2022

Practice Location

Address: 2260 LINDA AVE STE 103
City: Odessa
State: Texas
ZIP Code: 79763-2665
Phone: (432) 614-2246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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