| Concho Valley Family Dental | |
|
2102 Pecos St Ste 1 San Angelo TX 76901-3061 | |
| (325) 944-4984 | |
| Not Available |
| Full Name | Concho Valley Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2102 Pecos St Ste 1, San Angelo, Texas |
| Authorized Official Name and Position | Jay Fandel (OWNER / DENTIST) |
| Authorized Official Contact | 6024665687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concho Valley Family Dental 2102 Pecos St Ste 1 San Angelo TX 76901-3061 Ph: (325) 944-4984 | Concho Valley Family Dental 2102 Pecos St Ste 1 San Angelo TX 76901-3061 Ph: (325) 944-4984 |
| NPI Number | 1083337240 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083337240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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