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Organization
MEJIA-MAIDL ORTHODONTICS, P.A.
Active
Organization
MEJIA-MAIDL ORTHODONTICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA MEJIA-MAIDL D.D.S., M.S. (PRESIDENT)
(915) 500-5602
Entity
Organization
Contact information
Practice address
9130 VISCOUNT BLVD, EL PASO, TX 79925-6512
(915) 500-5602
(915) 500-5604
Mailing address
9130 VISCOUNT BLVD, EL PASO, TX 79925-6512
(915) 500-5602
(915) 500-5604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20351
TX
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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