Organization
ASSOCIATES IN ORAL AND IMPLANT SURGERY TRAWOOD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
2150 TRAWOOD DR STE B150, EL PASO, TX 79935-3326
(915) 581-7800
Mailing address
2150 TRAWOOD DR STE B150, EL PASO, TX 79935-3326
(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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