Individual
ADRIEN LANCELOT CHARLES-MARCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
10175 GATEWAY BLVD W STE 304, EL PASO, TX 79925-2203
(915) 504-6880
Mailing address
1770 CIMARRON SQ, EL PASO, TX 79911-2200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
103637
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
41272
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2018
Last updated
07/02/2025
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