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Individual

DR. DENISE MARIE CACHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
EAST BLISS DENTAL CLINIC, 21227 TORCH ST, FORT BLISS, TX 79918
(915) 742-9297
Mailing address
EAST BLISS DENTAL CLINIC, 21227 TORCH ST, FORT BLISS, TX 79918
(915) 742-9297

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11244
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003433640
OR
Enumeration date
06/30/2020
Last updated
06/17/2022
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