# DENTAL BOSS OF EL PASO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** El Paso Affordable Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427716265
- **Authorized official:** MAXIM M MOSSMAN DDS (OWNER)
- **Authorized official phone:** (972) 838-3772

## Contact information

- **Practice address:** 2150 TRAWOOD DR STE A200, EL PASO, TX 79935-3327
- **Practice address phone:** (972) 838-3772
- **Mailing address:** PO BOX 195487, DALLAS, TX 75219-8608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 11/29/2021
- **Last updated:** 05/16/2022