# ALFREDO MELENDEZ

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

## Provider details

- **NPI number:** 1508322793
- **Authorized official:** ALFREDO MELENDEZ DDS (OWNER)
- **Authorized official phone:** (915) 996-9866

## Contact information

- **Practice address:** 2300 GEORGE DIETER DR, EL PASO, TX 79936-3963
- **Practice address phone:** (915) 996-9866
- **Mailing address:** 2300 GEORGE DIETER DR, EL PASO, TX 79936-3963
- **Mailing address phone:** (915) 996-9866

## Taxonomy

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

## Other

- **Enumeration date:** 02/13/2019
- **Last updated:** 02/13/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5368350 | UNITED HEALTH CARE | TX |