| Agave Dental Pebble Hills Pllc | |
|
11680 Pebble Hills Blvd El Paso TX 79936-1090 | |
| (915) 225-4477 | |
| (915) 225-4478 |
| Full Name | Agave Dental Pebble Hills Pllc |
|---|---|
| Speciality | Dentist |
| Location | 11680 Pebble Hills Blvd, El Paso, Texas |
| Authorized Official Name and Position | Joseph Alexander Havig (OWNER/DENTIST) |
| Authorized Official Contact | 4802841338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agave Dental Pebble Hills Pllc 11680 Pebble Hills Blvd El Paso TX 79936-1090 Ph: (915) 225-4477 | Agave Dental Pebble Hills Pllc 11680 Pebble Hills Blvd El Paso TX 79936-1090 Ph: (915) 225-4477 |
| NPI Number | 1114624905 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 02/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114624905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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