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Organization

STAR MOUNTAIN FAMILY DENTAL PLLC

Active
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Organization

STAR MOUNTAIN FAMILY DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELYN LUERA DDS (OWNER)
(915) 594-4048
Entity
Organization

Contact information

Practice address
11601 PELLICANO DR, EL PASO, TX 79936-6279
(915) 594-4048
Mailing address
11601 PELLICANO DR, EL PASO, TX 79936-6279
(915) 594-4048

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/12/2019
Last updated
06/13/2024
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