| Agave Dental Care East PLLC | |
|
1806 Mcrae Blvd El Paso TX 79925-6706 | |
| (915) 591-7117 | |
| Not Available |
| Full Name | Agave Dental Care East PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1806 Mcrae Blvd, El Paso, Texas |
| Authorized Official Name and Position | Joseph Alexander Havig (MANAGER) |
| Authorized Official Contact | 4802841338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agave Dental Care East PLLC 1806 Mcrae Blvd El Paso TX 79925-6706 Ph: (915) 591-7117 | Agave Dental Care East PLLC 1806 Mcrae Blvd El Paso TX 79925-6706 Ph: (915) 591-7117 |
| NPI Number | 1508505140 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 06/01/2022 |
| Certification Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508505140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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