# ASSOCIATES IN ORAL AND IMPLANT SURGERY TRAWOOD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477208809
- **Authorized official:** CHAD HENDRICKS (CREDENTIALING)
- **Authorized official phone:** (612) 859-0444

## Contact information

- **Practice address:** 2150 TRAWOOD DR STE B150, EL PASO, TX 79935-3326
- **Practice address phone:** (915) 581-7800
- **Mailing address:** 2150 TRAWOOD DR STE B150, EL PASO, TX 79935-3326
- **Mailing address phone:** (915) 581-7800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2022
- **Last updated:** 02/14/2022