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Agave Dental Fun Zone Pllc
Dental Clinic/Center in El Paso, Texas
NPI 1861106114

Agave Dental Fun Zone Pllc is a Dental Clinic/Center based in El Paso, TX and is specialized in Dental. Agave Dental Fun Zone Pllc practices in El Paso, TX. The NPI Number for Agave Dental Fun Zone Pllc is 1861106114 and holds a License No. (Texas).

The current practice location address for Agave Dental Fun Zone Pllc is 10501 Gateway Blvd W Ste 107, El Paso, TX and can be reached out via phone at 915-204-6941.

Location: 10501 Gateway Blvd W Ste 107, El Paso, TX, 79912-1859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861106114
Provider Name
Agave Dental Fun Zone Pllc
Credential
Provider Entity Type
Organization
Address
10501 Gateway Blvd W Ste 107, El Paso, TX, 79912-1859
Phone Number
915-204-6941
Fax Number
Provider Enumeration Date
01/11/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10501 Gateway Blvd W Ste 107
City
El Paso
State
Texas
Zip
79925-7956
Phone Number
915-204-6941
Fax Number
person
Provider Business Mailing Address Details
Address
10501 Gateway Blvd W Ste 107
City
El Paso
State
Texas
Zip
79925-7956
Phone Number
915-204-6941
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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