Pellicano Family Dentistry Pllc

NPI #1407413594 in El Paso, Texas

Provider Information

NPI Number
1407413594
Entity Type
Organization
Organization Name
Pellicano Family Dentistry Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 23, 2019
Last Updated
May 23, 2019

Practice Location

Address
11615 PELLICANO DR # 100
State
Texas
ZIP Code
79936-6242
Phone
(915) 444-8006

Authorized Official

Name
LUPITA MENDOZA
Title
OFFICE MANAGER
Phone
(214) 616-6148

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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