Individual
NATASHA GANDARILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(216) 659-1670
Mailing address
12357 DESERT VISTA AVE, EL PASO, TX 79938-2402
(216) 659-1670
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35034
TX
1223P0700X
Prosthodontics
Primary
35054
TX
Other
Enumeration date
09/08/2017
Last updated
07/07/2026
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