Carlos E. de la Pena, D.D.S., P.C.
Organization Active NPI Dentist · Eagle Pass, TX
NPI 1851438451 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1851438451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- CARLOS E. DE LA PENA, D.D.S., P.C.
- Practice address
- 2230 Veterans Blvd Suite 200
Eagle Pass, TX 78852 - Phone
- (830) 773-0707
- Fax
- (830) 757-4550
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Carlos Eduardo De la Pena, D.D.S.
- Title
- President-Dentist
- Phone
- (830) 773-0707
Practitioners 1
-
Carlos Eduardo De la Pena, D.D.S., P.C
National Provider Directory
Locations
2230 N Veterans Blvd
Ste 200
Eagle Pass, TX 78852
Phone (830) 773-0707
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
2230 Veterans Blvd Suite 200
Eagle Pass, TX 78852
Mailing address
P O Box 618
Eagle Pass, TX 78852
Phone (830) 773-0707
Other names
- FAMILY DENTAL CARE
Other providers in Eagle Pass, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.