Organization
ALFREDO MELENDEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO MELENDEZ DDS (OWNER)
(915) 996-9866
Entity
Organization
Contact information
Practice address
2300 GEORGE DIETER DR, EL PASO, TX 79936-3963
(915) 996-9866
Mailing address
2300 GEORGE DIETER DR, EL PASO, TX 79936-3963
(915) 996-9866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5368350
UNITED HEALTH CARE
TX
Enumeration date
02/13/2019
Last updated
02/13/2019
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