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Organization
DDC EL PASO PLLC
Active
Organization
DDC EL PASO PLLC
Active
Other names
Dyer Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER CORDOVA (OPERATIONS MANAGER)
(915) 490-8698
Entity
Organization
Contact information
Practice address
3932 FORT BLVD, EL PASO, TX 79930-6208
(915) 566-9415
Mailing address
10510 MONTWOOD DR STE B, EL PASO, TX 79935-2717
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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