Provider Demographics
NPI:1134907405
Name:ARTALEJO GOFF, ADRIANA (DDS)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:ARTALEJO GOFF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ADRIANA
Other - Middle Name:
Other - Last Name:ARTALEJO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:914 CINCINNATI AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2436
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1717 BROWN ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4727
Practice Address - Country:US
Practice Address - Phone:915-900-7540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41557122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist