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Organization

WESTSIDE ENDODONTIC ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHNNY G CAILLETEAU DDS (SECRETARY)
(915) 581-3391
Entity
Organization

Contact information

Practice address
7211 N MESA ST, SUITE 2E, EL PASO, TX 79912-3611
(915) 581-3391
(915) 581-4825
Mailing address
7211 N MESA ST, SUITE 2E, EL PASO, TX 79912-3611
(915) 581-3391
(915) 581-4825

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
13443
TX

Other

Enumeration date
02/24/2007
Last updated
08/22/2020
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