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Search › Texas › 1223X0400X

Jaques Gontijo Mezencio, DDS

NPI 1568285237 · on the registry since 2024 · sole proprietor

Practice

Address
4901 E 42nd St Ste B
Odessa, TX 79762
Phone
(432) 242-8827
Organisation at this address
Highway 351 Pc
North Mesa Dental, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas