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5561 Alameda Ave Ste B El Paso TX 79905-2915 | |
| (214) 971-2568 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5561 Alameda Ave Ste B, El Paso, Texas |
| Authorized Official Name and Position | Elias Domenico Perlasca (CONSULTANT) |
| Authorized Official Contact | 2149712568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9540 Garland Rd Ste Ste 381 - #313 Dallas TX 75218-3471 Ph: (214) 971-2568 | 5561 Alameda Ave Ste B El Paso TX 79905-2915 Ph: (214) 971-2568 |
| NPI Number | 1508359696 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 06/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508359696 | NPI | - | NPPES |
| 1760701833 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25381 (Texas) | Primary |
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