Organization
AM INTEGRATIVE DENTAL CARE OF EL PASO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE RODRIQUEZ (OFFICE REPRESENTATIVE)
(915) 779-6403
Entity
Organization
Contact information
Practice address
5939 GATEWAY BLVD W STE B, EL PASO, TX 79925-3301
(915) 779-6403
Mailing address
5939 GATEWAY BLVD W STE B, EL PASO, TX 79925-3301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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