Provider Demographics
NPI:1023173572
Name:DELAPAZ, DACEN (DDS)
Entity type:Individual
Prefix:DR
First Name:DACEN
Middle Name:
Last Name:DELAPAZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W CENTRAL TEXAS EXPY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-7406
Mailing Address - Country:US
Mailing Address - Phone:254-699-9444
Mailing Address - Fax:254-699-8862
Practice Address - Street 1:120 W CENTRAL TEXAS EXPY
Practice Address - Street 2:SUITE 100
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-7406
Practice Address - Country:US
Practice Address - Phone:254-699-9444
Practice Address - Fax:254-699-8862
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX154861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice