| NPI | 1215824552 |
|---|---|
| Former Legal Business Name | TIERRA ESTE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NESTOR G CERVANTES Owner 915-249-2298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2025-06-19 |