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Organization
EL PASO VIVA DENTAL
Active
Organization
EL PASO VIVA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUNKIL YI DDS (PRESIDENT)
(915) 751-1007
Entity
Organization
Contact information
Practice address
9584 DYER ST., SUITE B, EL PASO, TX 79924
(915) 751-1007
(915) 751-1002
Mailing address
9584 DYER ST, SUITE B, EL PASO, TX 79924-4768
(915) 751-1007
(915) 751-1002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25483
TX
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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