Fiesta Dental Pllc

NPI #1174922504 in Hondo, Texas

Provider Information

NPI Number
1174922504
Entity Type
Organization
Organization Name
Fiesta Dental Pllc
Primary Specialty
Dentist
Enumeration Date
Aug 21, 2014
Last Updated
Aug 12, 2015

Practice Location

Address
166 MENEFEE ST
Address 2
SUITE C
City
Hondo
State
Texas
ZIP Code
78861
Phone
(201) 920-6343

Authorized Official

Name
TEJAL DHANANI
Title
OWNER
Phone
(682) 234-4603

Specialties & Taxonomy Codes

Specialty
Dentist

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