Organization
EVELIA MANCERA
Active
Other names
Santa Fe
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELIA MANCERA (DENTIST)
(915) 240-4174
Entity
Organization
Contact information
Practice address
4517 LEEDS AVE, EL PASO, TX 79903-1210
(915) 240-4174
Mailing address
HERMANOS ESCOBAR, 2456, CD. JUAREZ, CHIHUAHUA 32300
(915) 613-4145
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2643666
ZZ
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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