Familia Dental Hob LLC

NPI #1932474004 in Hobbs, New Mexico

Provider Information

NPI Number
1932474004
Entity Type
Organization
Organization Name
Familia Dental Hob LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 21, 2012
Last Updated
Oct 15, 2021

Practice Location

Address
1710 JOE HARVEY BLVD
Address 2
STE B
City
Hobbs
ZIP Code
88240-0821
Phone
(575) 238-0335

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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