| Alba Dental Care, Pllc | |
|
12444 Edgemere Blvd. El Paso TX 79938 | |
| (915) 800-2522 | |
| (888) 597-6775 |
| Full Name | Alba Dental Care, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 12444 Edgemere Blvd., El Paso, Texas |
| Authorized Official Name and Position | Soheil Khodadadi (OWNER) |
| Authorized Official Contact | 9158002522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alba Dental Care, Pllc 11633 San Vicente Blvd Ste 210 Los Angeles CA 90049-6513 Ph: (310) 666-9267 | Alba Dental Care, Pllc 12444 Edgemere Blvd. El Paso TX 79938 Ph: (915) 800-2522 |
| NPI Number | 1770243974 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 02/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770243974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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