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7500 N Mesa St Suite 304 El Paso TX 79912-3501 | |
(915) 231-9983 | |
Not Available |
Full Name | |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 7500 N Mesa St, El Paso, Texas |
Authorized Official Name and Position | Christel Dinkler (CFO) |
Authorized Official Contact | 3616545616 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1620 S Padre Island Dr Suite 230b Corpus Christi TX 78416-1353 Ph: (361) 654-5616 | 7500 N Mesa St Suite 304 El Paso TX 79912-3501 Ph: (915) 231-9983 |
NPI Number | 1063778678 |
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Provider Enumeration Date | 04/09/2012 |
Last Update Date | 04/09/2012 |
Identifier | Type | State | Issuer |
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1063778678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Texas) | Primary |
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