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NPI Code Detail

MEDICARE: DR. NORMA IRIS WESTERBAND DMD

MEDICARE: DR. NORMA IRIS WESTERBAND DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistD8527OR
21223G0001XGeneral Practice DentistryD8527OR

General Provider Information

NPI Number : 1942271861
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NORMA IRIS WESTERBAND DMD
Provider Business Mailing Address
First Line : 5005 N. PIEDRAS ST
Second Line : USA DENTAL ACTIVITY
City : EL PASO
State : TX
Zip : 79920-5001
Country : US
Telephone Number : 915-742-0064
Fax Number :
Provider Business Practice Location Address
First Line : 5005 N PIEDRAS ST
Second Line : USA DENTAL ACTIVITY
City : EL PASO
State : TX
Zip : 79920-5002
Country : US
Telephone Number : 915-742-0064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 06/14/2016

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