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1174922504
FIESTA DENTAL PLLC
HONDO, TX
NPI
1174922504
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Entity Type
Organization
Authorized Contact
TEJAL DHANANI
Owner
682-234-4603
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 25831)
Enumeration Date
2014-08-21
Last Update Date
2015-08-12
Business Address
FIESTA DENTAL PLLC
166 MENEFEE ST SUITE C
HONDO, TX 78861
Phone number: 201-920-6343
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Mailing Address
FIESTA DENTAL PLLC
166 MENEFEE ST SUITE C
HONDO, TX 78861
Phone number: 617-913-2151
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