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Individual
DR. MICHELLE MENDOZA
Active
Individual
DR. MICHELLE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21754
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780786368
—
TX
Enumeration date
09/02/2006
Last updated
11/07/2007
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