Organization
GUILLEN RIVERA ORAL AND MAXILLOFACIAL SURGERY PLLC
Active
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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