| Basic Dental Of Mesa, Pllc | |
|
6238 N Mesa St El Paso TX 79912-4520 | |
| (940) 220-4983 | |
| Not Available |
| Full Name | Basic Dental Of Mesa, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6238 N Mesa St, El Paso, Texas |
| Authorized Official Name and Position | Joshua Elliss (OWNER) |
| Authorized Official Contact | 7025576423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basic Dental Of Mesa, Pllc 1805 Hinkle Dr Ste 100 Denton TX 76201-1768 Ph: (940) 220-4983 | Basic Dental Of Mesa, Pllc 6238 N Mesa St El Paso TX 79912-4520 Ph: (940) 220-4983 |
| NPI Number | 1942509039 |
|---|---|
| Provider Enumeration Date | 03/15/2011 |
| Last Update Date | 03/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942509039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25432 (Texas) | Primary |
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