# DDC EL PASO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dyer Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710672274
- **Authorized official:** HEATHER CORDOVA (OPERATIONS MANAGER)
- **Authorized official phone:** (915) 490-8698

## Contact information

- **Practice address:** 3932 FORT BLVD, EL PASO, TX 79930-6208
- **Practice address phone:** (915) 566-9415
- **Mailing address:** 10510 MONTWOOD DR STE B, EL PASO, TX 79935-2717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/10/2023
- **Last updated:** 04/10/2023