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Organization
NORTH MESA DENTAL, PC
Active
Organization
NORTH MESA DENTAL, PC
Active
Other names
Pinova Dental, KOOL SMILES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE MAYFIELD DMD (PRESIDENT)
(770) 916-5036
Entity
Organization
Contact information
Practice address
6910 N MESA ST STE C, EL PASO, TX 79912-4446
(800) 920-9947
(678) 247-7858
Mailing address
400 GALLERIA PKWY SE STE 800, ATLANTA, GA 30339-6413
(800) 920-9947
(678) 247-7858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/19/2009
Last updated
06/17/2019
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