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Organization
ASSOCIATES IN ORAL AND IMPLANT SURGERY TRAWOOD PLLC
Active
Organization
ASSOCIATES IN ORAL AND IMPLANT SURGERY TRAWOOD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
2150 TRAWOOD DR STE B150, EL PASO, TX 79935-3326
(915) 581-7800
Mailing address
2150 TRAWOOD DR STE B150, EL PASO, TX 79935-3326
(915) 581-7800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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