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1568285237
JAQUES GONTIJO MEZENCIO
ODESSA, TX
NPI
1568285237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: TX 41088)
Enumeration Date
2024-11-01
Last Update Date
2024-11-01
Business Address
DR. JAQUES GONTIJO MEZENCIO DDS
4901 E 42ND ST STE B
ODESSA, TX 79762-7338
Phone number: 432-242-8827
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Mailing Address
DR. JAQUES GONTIJO MEZENCIO DDS
8645 VIA TAVOLERIA WAY
WINDERMERE, FL 34786-6828
Phone number: 561-843-4364
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