Familia Dental Big Spring Pllc

NPI #1003160664 in Big Spring, Texas

Provider Information

NPI Number
1003160664
Entity Type
Organization
Organization Name
Familia Dental Big Spring Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 5, 2012
Last Updated
Oct 14, 2021

Practice Location

Address
1915 S GREGG ST
State
Texas
ZIP Code
79720-5434
Phone
(888) 988-4066

Authorized Official

Name
MR. BRANDON ALEXANDER TAYLOR, CPCS
Title
CREDENTIALING PAYER RELATIONS MGR
Phone
(847) 453-7396

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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