Antanaya I Mendez

NPI #1811601495 in Fort Carson, Colorado

Provider Information

NPI Number: 1811601495
Entity Type: Individual
Name: Antanaya I Mendez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Jan 9, 2023
Last Updated: Jan 9, 2023

Practice Location

Address: 1667 COCHRANE CIR BLDG 7495
City: Fort Carson
State: Colorado
ZIP Code: 80913-4603
Phone: (719) 526-5537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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