Organization · Type 2 NPI

12900 Eastlake PLLC

General Practice Dentistry · El Paso, TX

NPI number 1376314096 Active

Practice location

12900 Eastlake Blvd
El Paso, TX 79928

Call (915) 219-4713 Map

Mailing address

10510 Montwood Dr Ste B
El Paso, TX 79935-2717

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1376314096

12900 Eastlake PLLC's National Provider Identifier is 1376314096, issued on Jan 11, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in El Paso, TX. The record was last updated on Jan 11, 2024.