Dental Fun Zone | |
10501 Gateway Blvd W Suite 107 El Paso TX 79925-7934 | |
(915) 590-4600 | |
(915) 590-4604 |
Full Name | Dental Fun Zone |
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Speciality | Dentist - General Practice |
Location | 10501 Gateway Blvd W, El Paso, Texas |
Authorized Official Name and Position | Kayli Coffman (MANAGER) |
Authorized Official Contact | 7022043557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Fun Zone 1900 Durance Corinth TX 76210-0589 Ph: (702) 204-3557 | Dental Fun Zone 10501 Gateway Blvd W Suite 107 El Paso TX 79925-7934 Ph: (915) 590-4600 |
NPI Number | 1033490388 |
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Provider Enumeration Date | 08/31/2011 |
Last Update Date | 02/23/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033490388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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