# TIERRA ESTE FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tierra Este Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215824552
- **Authorized official:** NESTOR G CERVANTES (OWNER)
- **Authorized official phone:** (915) 249-2298

## Contact information

- **Practice address:** 12040 TIERRA ESTE RD STE B212, EL PASO, TX 79938-4672
- **Practice address phone:** (915) 249-2298
- **Practice address fax:** (915) 249-4160
- **Mailing address:** 12040 TIERRA ESTE RD STE B212, EL PASO, TX 79938-4672
- **Mailing address phone:** (915) 249-2298
- **Mailing address fax:** (915) 249-2298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2025
- **Last updated:** 06/19/2025