| The Dental Park | |
|
634 Sunland Park Dr El Paso TX 79912-5138 | |
| (972) 838-3772 | |
| Not Available |
| Full Name | The Dental Park |
|---|---|
| Speciality | Dentist |
| Location | 634 Sunland Park Dr, El Paso, Texas |
| Authorized Official Name and Position | Maxim M Mossman (OWNER) |
| Authorized Official Contact | 9728383772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Park Po Box 195487 Dallas TX 75219-8608 Ph: () - | The Dental Park 634 Sunland Park Dr El Paso TX 79912-5138 Ph: (972) 838-3772 |
| NPI Number | 1629736467 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 05/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629736467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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