Organization
FAMILIA DENTAL ODESSA PLLC
Active
Other names
Familia Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANETTE GALLARDO REYES S CREDENTIALING SPEC (CREDENTIALING TEAM LEAD)
(847) 737-3561
Entity
Organization
Contact information
Practice address
1401 E 8TH ST, ODESSA, TX 79761-4802
(432) 332-8550
(432) 332-8560
Mailing address
1933 N MEACHAM RD STE 400, SCHAUMBURG, IL 60173-4304
(847) 510-4910
(847) 510-4809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
04/02/2026
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