Antanaya I Mendez Valid NPI
Individual provider · Dental Assistant · Fort Carson, CO
- NPI
- 1811601495
- Type
- Individual (Type 1)
- Primary specialty
- Dental Assistant
- Specialty group
- Dental Providers
- Taxonomy code
- 126800000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2023-01-09
- Last updated
- 2023-01-09
Practice location
1667 Cochrane Cir Bldg 7495
Fort Carson, CO 80913-4603
(719) 526-5537