Elite Dental-edgemere Pllc | |
14240 Edgemere Blvd Ste 105 El Paso TX 79938-5174 | |
(352) 443-9151 | |
Not Available |
Full Name | Elite Dental-edgemere Pllc |
---|---|
Speciality | Dentist |
Location | 14240 Edgemere Blvd Ste 105, El Paso, Texas |
Authorized Official Name and Position | Del Greenhalgh (OWNER) |
Authorized Official Contact | 3524439348 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elite Dental-edgemere Pllc 10510 Montwood Dr Ste B El Paso TX 79935-2717 Ph: (352) 443-9151 | Elite Dental-edgemere Pllc 14240 Edgemere Blvd Ste 105 El Paso TX 79938-5174 Ph: (352) 443-9151 |
NPI Number | 1750964276 |
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Provider Enumeration Date | 05/03/2021 |
Last Update Date | 05/03/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750964276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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