Individual
DIMITRI HOUSE-GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5005 N.PIEDRAS, EL PASO, TX 79920-5001
(915) 742-3303
Mailing address
45008 2ND CAVALRY CIR, EL PASO, TX 79904-4322
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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