Organization
ASSOCIATES IN ORAL & IMPLANT SURGERY MESA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
7211 N MESA ST # 1, EL PASO, TX 79912-3611
(915) 581-7800
Mailing address
7211 N MESA ST # 1, EL PASO, TX 79912-3611
(915) 581-7800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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