Organization
CONCHO VALLEY FAMILY DENTAL, P.A.
Active
Other names
Dolce Vita Wellness & Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY FANDEL DMD (OWNER/DENTIST)
(325) 275-4105
Entity
Organization
Contact information
Practice address
2102 PECOS ST STE 15, SAN ANGELO, TX 76901-3061
(325) 275-4105
Mailing address
2102 PECOS ST STE 15, SAN ANGELO, TX 76901-3061
(325) 275-4105
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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