# CONCHO VALLEY FAMILY DENTAL, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dolce Vita Wellness & Dental Spa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851225270
- **Authorized official:** DR. JAY FANDEL DMD (OWNER/DENTIST)
- **Authorized official phone:** (325) 275-4105

## Contact information

- **Practice address:** 2102 PECOS ST STE 15, SAN ANGELO, TX 76901-3061
- **Practice address phone:** (325) 275-4105
- **Mailing address:** 2102 PECOS ST STE 15, SAN ANGELO, TX 76901-3061
- **Mailing address phone:** (325) 275-4105

## Taxonomy

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

## Other

- **Enumeration date:** 06/10/2026
- **Last updated:** 06/10/2026