# GUILLEN RIVERA ORAL AND MAXILLOFACIAL SURGERY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prestige Oral and Facial Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821640822
- **Authorized official:** MR. GERARDO J GUILLEN RIVERA DMD/DDS (PRESIDENT / OWNER)
- **Authorized official phone:** (915) 283-4730

## Contact information

- **Practice address:** 7100 WESTWIND DR STE 110-115, EL PASO, TX 79912-1786
- **Practice address phone:** (915) 283-4730
- **Practice address fax:** (915) 283-6210
- **Mailing address:** 7100 WESTWIND DR STE 110-115, EL PASO, TX 79912-1786
- **Mailing address phone:** (915) 283-4730
- **Mailing address fax:** (915) 283-6210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2019
- **Last updated:** 07/10/2019