| Good Night El Paso LLC | |
|
9398 Viscount Blvd Bldg 1 Suite C El Paso TX 79925-8056 | |
| (915) 373-8074 | |
| Not Available |
| Full Name | Good Night El Paso LLC |
|---|---|
| Speciality | Dentist |
| Location | 9398 Viscount Blvd Bldg 1, El Paso, Texas |
| Authorized Official Name and Position | Adela Cabrera (ONER DENTIST) |
| Authorized Official Contact | 9153738074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Night El Paso LLC 9398 Viscount Blvd Bldg 1 El Paso TX 79925-8056 Ph: (915) 373-8074 | Good Night El Paso LLC 9398 Viscount Blvd Bldg 1 Suite C El Paso TX 79925-8056 Ph: (915) 373-8074 |
| NPI Number | 1821822412 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Medicare PECOS PAC ID | 7113457029 |
|---|---|
| Medicare Enrollment ID | O20250207000402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821822412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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