# EVELIA MANCERA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Santa Fe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265837546
- **Authorized official:** MRS. EVELIA MANCERA (DENTIST)
- **Authorized official phone:** (915) 240-4174

## Contact information

- **Practice address:** 4517 LEEDS AVE, EL PASO, TX 79903-1210
- **Practice address phone:** (915) 240-4174
- **Mailing address:** HERMANOS ESCOBAR, 2456, CD. JUAREZ, CHIHUAHUA 32300
- **Mailing address phone:** (915) 613-4145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2643666 | ZZ | Yes |

## Other

- **Enumeration date:** 10/28/2014
- **Last updated:** 10/28/2014