| Lee Trevino Dental | |
|
1624 N Lee Trevino Dr Suite A El Paso TX 79936-5100 | |
| (915) 593-8815 | |
| (915) 593-8857 |
| Full Name | Lee Trevino Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1624 N Lee Trevino Dr, El Paso, Texas |
| Authorized Official Name and Position | Ryan August Chenausky (GENERAL DENTIST) |
| Authorized Official Contact | 9155938815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Trevino Dental 1624 N Lee Trevino Dr Suite A El Paso TX 79936-5100 Ph: (915) 593-8815 | Lee Trevino Dental 1624 N Lee Trevino Dr Suite A El Paso TX 79936-5100 Ph: (915) 593-8815 |
| NPI Number | 1821546888 |
|---|---|
| Provider Enumeration Date | 09/19/2016 |
| Last Update Date | 09/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821546888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 32243 (Texas) | Primary |
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