Individual
ADELINA IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5005 N. PIEDRAS ST. 2ND FLOOR RM 2112, WILLIAM BEAUMONT ARMY MEDICAL CENTER, EL PASO, TX 79920
(915) 328-2511
Mailing address
277 S WASHINGTON ST STE 300, ALEXANDRIA, VA 22314-3674
(571) 499-5002
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
199550
NJ
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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