| Fort Bliss Family Dentistry, Pllc | |
|
1617 Pleasonton Rd. Suite G129 Fort Bliss TX 79906 | |
| (915) 895-3678 | |
| Not Available |
| Full Name | Fort Bliss Family Dentistry, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1617 Pleasonton Rd., Fort Bliss, Texas |
| Authorized Official Name and Position | Minyoung Lee (OWNER) |
| Authorized Official Contact | 9158953678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Bliss Family Dentistry, Pllc 11633 San Vicente Blvd Ste 210 Los Angeles CA 90049-6513 Ph: (915) 895-3678 | Fort Bliss Family Dentistry, Pllc 1617 Pleasonton Rd. Suite G129 Fort Bliss TX 79906 Ph: (915) 895-3678 |
| NPI Number | 1588310015 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 12/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588310015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |