That Dang Tooth Pllc | |
3260 N Zaragoza Rd Ste D406 El Paso TX 79938-4677 | |
(915) 271-4777 | |
(915) 271-4774 |
Full Name | That Dang Tooth Pllc |
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Speciality | Dentist |
Location | 3260 N Zaragoza Rd Ste D406, El Paso, Texas |
Authorized Official Name and Position | Quoc Dang (OWNER) |
Authorized Official Contact | 4087055001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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That Dang Tooth Pllc 3260 N Zaragoza Rd Ste D406 El Paso TX 79938-4677 Ph: (915) 271-4777 | That Dang Tooth Pllc 3260 N Zaragoza Rd Ste D406 El Paso TX 79938-4677 Ph: (915) 271-4777 |
NPI Number | 1538823547 |
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Provider Enumeration Date | 10/26/2021 |
Last Update Date | 10/26/2021 |
Medicare PECOS PAC ID | 9638561012 |
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Medicare Enrollment ID | O20220114000674 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538823547 | NPI | - | NPPES |
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