# AM INTEGRATIVE DENTAL CARE OF EL PASO PC

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

## Provider details

- **NPI number:** 1497240535
- **Authorized official:** NATALIE RODRIQUEZ (OFFICE REPRESENTATIVE)
- **Authorized official phone:** (915) 779-6403

## Contact information

- **Practice address:** 5939 GATEWAY BLVD W STE B, EL PASO, TX 79925-3301
- **Practice address phone:** (915) 779-6403
- **Mailing address:** 5939 GATEWAY BLVD W STE B, EL PASO, TX 79925-3301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2018
- **Last updated:** 06/29/2018