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Organization
MEXPRO DENT
Active
Organization
MEXPRO DENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VERONICA JANNETH CARDENAS (CEO)
(951) 479-1714
Entity
Organization
Contact information
Practice address
848 E 5TH ST, CALEXICO, CA 92231-2934
(760) 592-9314
Mailing address
414 E 2ND ST, CALEXICO, CA 92231-2847
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
12/10/2014
Last updated
05/27/2015
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