| NPI | 1134912108 |
|---|---|
| Doing Business As | PELLEGRINO DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JENNY GARCIA Sr. Credentialing Team Lead 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |