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Organization
FAMILIA DENTAL MIDLAND PLLC
Active
Organization
FAMILIA DENTAL MIDLAND PLLC
Active
Other names
FAMILIA DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON ALEXANDER TAYLOR CPCS (CREDENTIALING PAYER RELATIONS MGR)
(847) 453-7396
Entity
Organization
Contact information
Practice address
3200 ANDREWS HWY, SUITE 400, MIDLAND, TX 79701-3896
(432) 218-7927
(432) 218-7928
Mailing address
2005 EAST ALGONQUIN ROAD, SUITE 610, SCHAUMBURG, IL 60173-4166
(847) 453-7396
(847) 453-7396
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/03/2010
Last updated
10/15/2021
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