Organization · NPI-2

1550 Zaragoza Rd PLLC

Clinic/Center, Dental · El Paso, TX

NPI number1124816152
StatusActive
Last updated in NPPESApr 29, 2025

Details

NPI
1124816152
Entity type
Organization (NPI-2)
Legal business name
1550 Zaragoza Rd PLLC
Organization subpart
No
Enumeration date
Apr 29, 2025
Certification date
Apr 29, 2025
Last updated
Apr 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Other names

  • 201 Americas Avenue PLLC (Former Legal Business Name)
  • Pearl Dental (Doing Business As)

Practice location

1550 N Zaragoza Rd Ste A101
El Paso, TX 79936-7905

Phone 915-490-8698

Mailing address

10510 Montwood Dr Ste B
El Paso, TX 79935-2717

Phone 915-219-4713 · Fax 915-206-5880

Authorized official

Casie Garcia
Billing Operations
5756266118

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