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1164002390
EDWIN OSMAND PERALTA
ODESSA, TX
NPI
1164002390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 38859)
Enumeration Date
2021-04-12
Last Update Date
2022-08-30
Business Address
Dr. EDWIN OSMAND PERALTA D.D.S
2260 LINDA AVE STE 103
ODESSA, TX 79763-2665
Phone number: 432-614-2246
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Mailing Address
Dr. EDWIN OSMAND PERALTA D.D.S
2260 LINDA AVE STE 103
ODESSA, TX 79763-2665
Phone number: 432-614-2246
Copy
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