Individual
GRISSEL DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11761 FLOR DEL RIO, EL PASO, TX 79927
(915) 974-5861
Mailing address
11761 FLOR DEL RIO ST, SOCORRO, TX 79927-3316
(915) 974-5861
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
57051
TX
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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