Organization
DDC EL PASO PLLC
Active
Other names
Dyer Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER CORDOVA (OPERATIONS MANAGER)
(915) 490-8698
Entity
Organization
Contact information
Practice address
3932 FORT BLVD, EL PASO, TX 79930-6208
(915) 566-9415
Mailing address
10510 MONTWOOD DR STE B, EL PASO, TX 79935-2717
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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