Individual
LYDIA ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2260 TRAWOOD DR STE A, EL PASO, TX 79935-3042
(915) 591-6676
(915) 591-4817
Mailing address
2260 TRAWOOD DR, EL PASO, TX 79935-3040
(915) 591-6676
(915) 591-4817
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
16274
TX
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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