| Southwest Celebrity Smiles Pllc | |
|
9515 Gateway Blvd W Ste B El Paso TX 79925-7250 | |
| (915) 595-3333 | |
| Not Available |
| Full Name | Southwest Celebrity Smiles Pllc |
|---|---|
| Speciality | Dentist |
| Location | 9515 Gateway Blvd W Ste B, El Paso, Texas |
| Authorized Official Name and Position | Del Grant Greenhalgh (OWNER) |
| Authorized Official Contact | 9155953333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Celebrity Smiles Pllc 10510 Montwood Dr Ste B El Paso TX 79935-2717 Ph: (352) 443-9151 | Southwest Celebrity Smiles Pllc 9515 Gateway Blvd W Ste B El Paso TX 79925-7250 Ph: (915) 595-3333 |
| NPI Number | 1245810654 |
|---|---|
| Provider Enumeration Date | 04/09/2021 |
| Last Update Date | 04/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245810654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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