Individual
DR. JITIN VARGHESE MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.D.S., M.D.S., M.S.
Contact information
Practice address
137 RICK FRANCIS ST, EL PASO, TX 79905-2808
(915) 215-4231
Mailing address
137 RICK FRANCIS ST, EL PASO, TX 79905-2808
(915) 215-4231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40100
TX
Other
Enumeration date
10/09/2023
Last updated
10/10/2024
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