Provider Demographics
NPI:1508855289
Name:MCLAUGHLIN, ADELA M (DDS)
Entity Type:Individual
Prefix:MRS
First Name:ADELA
Middle Name:M
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 N MESA ST
Mailing Address - Street 2:STE 3-E
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3611
Mailing Address - Country:US
Mailing Address - Phone:915-581-6675
Mailing Address - Fax:915-581-6687
Practice Address - Street 1:7211 N MESA ST
Practice Address - Street 2:STE 3-E
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3611
Practice Address - Country:US
Practice Address - Phone:915-581-6675
Practice Address - Fax:915-581-6687
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-17
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18683122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist