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Individual

DR. TRENT CECIL FILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4800 ALBERTA AVE, EL PASO, TX 79905-2709
(915) 594-3584
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-6954

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1160
WY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12562
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DD2840
NM
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
T2400
ND

Other

Enumeration date
01/29/2007
Last updated
07/13/2020
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