| Eleganz Dentistry, Pc | |
|
1618 N Veterans Blvd Suite A San Juan TX 78589-3216 | |
| (469) 231-4419 | |
| Not Available |
| Full Name | Eleganz Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1618 N Veterans Blvd, San Juan, Texas |
| Authorized Official Name and Position | Quincy Attipoe (DIRECTOR) |
| Authorized Official Contact | 4692314419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleganz Dentistry, Pc 1618 N Veterans Blvd Suite A San Juan TX 78589 Ph: () - | Eleganz Dentistry, Pc 1618 N Veterans Blvd Suite A San Juan TX 78589-3216 Ph: (469) 231-4419 |
| NPI Number | 1619327228 |
|---|---|
| Provider Enumeration Date | 06/14/2016 |
| Last Update Date | 06/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619327228 | NPI | - | NPPES |
| 2 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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