Access Dental Of El Paso PLLC
Dentist, General Practice in El Paso, TX. Organization (NPI-2).
NPI number1093330789
StatusActive
Last updated in NPPESJun 9, 2020
Details
- NPI
- 1093330789
- Entity type
- Organization (NPI-2)
- Legal business name
- Access Dental Of El Paso PLLC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2020
- Certification date
- Jun 9, 2020
- Last updated
- Jun 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
8825 N Loop Dr Ste 126El Paso, TX 79907-4606
Phone 915-778-4545
Mailing address
8150 Springwood Dr # 150bIrving, TX 75063-5810
Phone 972-514-1672
Authorized official
Tien D Phan
Owner
9725141672
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