EDWIN OSMAND PERALTA

ODESSA, TX
NPI1164002390
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: TX  38859)
Enumeration Date2021-04-12
Last Update Date2022-08-30
Business Address
Dr. EDWIN OSMAND PERALTA D.D.S
2260 LINDA AVE STE 103
ODESSA, TX 79763-2665
Phone number: 432-614-2246
Mailing Address
Dr. EDWIN OSMAND PERALTA D.D.S
2260 LINDA AVE STE 103
ODESSA, TX 79763-2665
Phone number: 432-614-2246