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1295499739
AGAVE DENTAL CARE NORTH EAST, PLLC
EL PASO, TX
NPI
1295499739
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Entity Type
Organization
Authorized Contact
JAKE RUSSELL WILLIAMS
Owner/Dentist
915-755-7697
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2021-10-29
Last Update Date
2021-10-29
Business Address
AGAVE DENTAL CARE NORTH EAST, PLLC
8815 DYER ST SUITE 210
EL PASO, TX 79904
Phone number: 915-755-7697
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Mailing Address
AGAVE DENTAL CARE NORTH EAST, PLLC
8815 DYER ST SUITE 210
EL PASO, TX 79904
Phone number: 915-755-7697
Copy
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