Ms. Jaqueline Mendoza
Dental Assistant
11334 Ssg Sims
FtBliss
, Texas 79908
Ms. Jaqueline Mendoza
Dental Assistant
11334 Ssg Sims
FtBliss
, Texas 79908
(915) 301-4590
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Ms. Jaqueline Mendoza
- 336 Ralph St
- Chaparral, NM
- Zip : 88081-7559
- Phone : (915) 301-4590
Second Address
- Ms. Jaqueline Mendoza
- 11334 Ssg Sims
- Ft. Bliss, TX
- Zip : 79908
- Phone : (915) 301-4590
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Is Ms. Jaqueline Mendoza a sole practitioner?
Is Ms. Jaqueline Mendoza accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 35054 | TX |
National Provider Identifier
| NPI | 1275089807 |
|---|---|
| Provider Name | Ms. Jaqueline Mendoza |
| First Address | Chaparral, NM 88081-7559 |
| Second Address | Ft. Bliss, TX 79908 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2016 |
| Last Update Date | 01/09/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.