Organization
ASSOCIATE IN ORAL & IMPLANT SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK F DUVERNOIS DDS (OWNER)
(915) 581-7800
Entity
Organization
Contact information
Practice address
7211 NORTH MESA, STE 1-SOUTH, EL PASO, TX 79912
(915) 581-7800
(915) 587-8995
Mailing address
7211 NORTH MESA, STE 1-SOUTH, EL PASO, TX 79912
(915) 581-7800
(915) 587-8995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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