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Organization

WES BRANSFORD DENTAL PC

Active
Other names
Lee Trevino Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN AUGUST CHENAUSKY D.D.S. (GENERAL DENTIST)
(915) 593-8815
Entity
Organization

Contact information

Practice address
1624 N LEE TREVINO DR, SUITE A, EL PASO, TX 79936-5100
(915) 593-8815
(915) 593-8857
Mailing address
1624 N LEE TREVINO DR, SUITE A, EL PASO, TX 79936-5100
(915) 593-8815
(915) 593-8857

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
32243
TX

Other

Enumeration date
09/19/2016
Last updated
09/19/2016
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