12900 EASTLAKE PLLC

EL PASO, TX
NPI1376314096
Entity TypeOrganization
Authorized ContactCASIE GARCIA
Billing Operation
915-219-4713
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2024-01-11
Last Update Date2024-01-11
Business Address
12900 EASTLAKE PLLC
12900 EASTLAKE BLVD
EL PASO, TX 79928
Phone number: 915-219-4713
Mailing Address
12900 EASTLAKE PLLC
10510 MONTWOOD DR STE B
EL PASO, TX 79935-2717
Phone number: 915-219-4713
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