Provider Demographics
NPI:1720619208
Name:JASVINDER BADWALZ DMD PLLC
Entity type:Organization
Organization Name:JASVINDER BADWALZ DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:T
Authorized Official - Last Name:ALMANZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-781-7725
Mailing Address - Street 1:5340 EL PASO DR STE K
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2838
Mailing Address - Country:US
Mailing Address - Phone:915-781-7725
Mailing Address - Fax:915-779-3387
Practice Address - Street 1:5340 EL PASO DR STE K
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2838
Practice Address - Country:US
Practice Address - Phone:915-781-7725
Practice Address - Fax:915-779-3387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental