Organization · Type 2 NPI

El Paso Pellicano Family Dentistry

Dental Clinic/Center · El Paso, TX

NPI number 1629663356 Active

Practice location

11615 Pellicano Dr Ste 100
El Paso, TX 79936-6242

Specialties and licenses

Taxonomy	Code	License
Oral Medicine Dentistry	125Q00000X	None listed
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

Another provider at this address

Sonia Chong, DDSDentist El Paso, TX NPI 1316671183

Other dental clinic/center providers in El Paso

See all in El Paso →

NPI record

NPI: 1629663356
Entity type: Organization (Type 2)
Issued: Mar 4, 2021
Last updated: Jul 26, 2022
Status: Active

Other names

<unavail>
Pellicano Family Dentistry · doing business as
Pellicano Family Dentistry · doing business as

Authorized official

Dr. Jasvinder S Badwalz, DMD
Owner
(916) 747-8534

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1629663356

El Paso Pellicano Family Dentistry's National Provider Identifier is 1629663356, issued on Mar 4, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in El Paso, TX. The record was last updated on Jul 26, 2022.