Individual provider · NPI-1

George Luis Acosta, DDS

Dentist, General Practice · El Paso, TX

NPI number1740208727
StatusActive
Last updated in NPPESSep 24, 2015

Details

NPI
1740208727
Entity type
Individual (NPI-1)
Name
George Luis Acosta
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jul 17, 2006
Last updated
Sep 24, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice15280TXYes

Practice location

5001 N Piedras St
El Paso, TX 79930-4210

Phone 915-564-6100

Mailing address

5001 N Piedras St
El Paso, TX 79930-4210

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