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Organization

DENTAL HEALTH ASSOCIATES OF TEXAS, PC

Active
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Other names
Eastridge Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization

Contact information

Practice address
1314 N YARBROUGH DR, EL PASO, TX 79925-7802
(915) 592-3336
Mailing address
1314 N YARBROUGH DR, EL PASO, TX 79925-7802

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/27/2019
Last updated
09/27/2019
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