Provider First Line Business Practice Location Address:
5001 EL PASO DR., MSC 24001
Provider Second Line Business Practice Location Address:
HUNT SCHOOL OF DENTAL MEDICINE 3RD FLOO
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79905-7990
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-215-4365
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/22/2007