# EL PASO FAMILY DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Drs Spivak and Williams
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861057648
- **Authorized official:** DR. JAKE WILLIAMS DDS (OWNER)
- **Authorized official phone:** (385) 335-0929

## Contact information

- **Practice address:** 8815 DYER ST STE 210, EL PASO, TX 79904-2035
- **Practice address phone:** (915) 755-7697
- **Practice address fax:** (915) 751-1056
- **Mailing address:** 8815 DYER ST STE 210, EL PASO, TX 79904-2035
- **Mailing address phone:** (915) 755-7697
- **Mailing address fax:** (915) 751-1056

## Taxonomy

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

## Other

- **Enumeration date:** 05/07/2019
- **Last updated:** 05/07/2019