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12900 Eastlake PLLC — NPI 1376314096, El Paso, TX | NPI Central

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NPI 1376314096

OrganizationActive

12900 Eastlake PLLC

NPI 1376314096 · General Practice Dentistry · El Paso, TX

Provider details

NPI number: 1376314096
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Organization subpart: No
Authorized official: Casie Garcia, Billing Operation(915) 219-4713

Specialties & taxonomies

General Practice DentistryPrimary1223G0001X
Dental Providers

Practice location

12900 Eastlake Blvd

El Paso, TX 79928

Phone: (915) 219-4713

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

10510 Montwood Dr Ste B

El Paso, TX 79935-2717

Registry dates

Enumerated: 2024-01-11
Last updated: 2024-01-11
Certified: 2024-01-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.