Provider Demographics
NPI:1679578421
Name:NAJERA, MICHAEL PATRICK IV (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PATRICK
Last Name:NAJERA
Suffix:IV
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:7598 N MESA ST
Mailing Address - Street 2:STE 206
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3521
Mailing Address - Country:US
Mailing Address - Phone:915-833-3330
Mailing Address - Fax:915-833-4591
Practice Address - Street 1:7598 N MESA ST
Practice Address - Street 2:STE 206
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3521
Practice Address - Country:US
Practice Address - Phone:915-833-3330
Practice Address - Fax:915-833-4591
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TX160801223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX16080OtherSTATE LICENSE