Organization
GUILLEN RIVERA ORAL AND MAXILLOFACIAL SURGERY PLLC
Active
Other names
Prestige Oral and Facial Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARDO J GUILLEN RIVERA DMD/DDS (PRESIDENT / OWNER)
(915) 283-4730
Entity
Organization
Contact information
Practice address
7100 WESTWIND DR STE 110-115, EL PASO, TX 79912-1786
(915) 283-4730
(915) 283-6210
Mailing address
7100 WESTWIND DR STE 110-115, EL PASO, TX 79912-1786
(915) 283-4730
(915) 283-6210
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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