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Organization
AM INTEGRATIVE DENTAL CARE OF EL PASO PC
Active
Organization
AM INTEGRATIVE DENTAL CARE OF EL PASO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE RODRIQUEZ (OFFICE REPRESENTATIVE)
(915) 779-6403
Entity
Organization
Contact information
Practice address
5939 GATEWAY BLVD W STE B, EL PASO, TX 79925-3301
(915) 779-6403
Mailing address
5939 GATEWAY BLVD W STE B, EL PASO, TX 79925-3301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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