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Organization
GREEN FAMILY DENTAL PC
Active
Organization
GREEN FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL GREENHALGH (ADMINISTRATION)
(915) 778-4681
Entity
Organization
Contact information
Practice address
10510 MONTWOOD DR, SUITE D, EL PASO, TX 79935-2703
(915) 778-4681
Mailing address
10510 MONTWOOD DR, SUITE B, EL PASO, TX 79935-2703
(915) 778-4681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25959
TX
Other
Enumeration date
10/09/2014
Last updated
02/19/2015
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