| Vista Hills Family Dental | |
|
1713 Weston Brent Ln El Paso TX 79935-3013 | |
| (915) 592-2097 | |
| (915) 592-2853 |
| Full Name | Vista Hills Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 1713 Weston Brent Ln, El Paso, Texas |
| Authorized Official Name and Position | Jose Luis Alvarez (OWNER) |
| Authorized Official Contact | 9155922097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Hills Family Dental 1713 Weston Brent Ln El Paso TX 79935-3013 Ph: (915) 592-2097 | Vista Hills Family Dental 1713 Weston Brent Ln El Paso TX 79935-3013 Ph: (915) 592-2097 |
| NPI Number | 1093045205 |
|---|---|
| Provider Enumeration Date | 01/11/2010 |
| Last Update Date | 05/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093045205 | NPI | - | NPPES |
| 0079188-02 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20182 (Texas) | Primary |
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