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Individual

DR. ALFRED MARQUEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5939 GATEWAY BLVD W STE B, EL PASO, TX 79925-3301
(915) 779-6403
(915) 779-0406
Mailing address
5939 GATEWAY BLVD W STE B, EL PASO, TX 79925-3301
(915) 779-6403
(915) 779-0406

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12861
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0084121
TX
Enumeration date
10/10/2006
Last updated
07/08/2007
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