Provider Demographics
NPI:1598254047
Name:CHBL EL PASO, PLLC
Entity Type:Organization
Organization Name:CHBL EL PASO, PLLC
Other - Org Name:CARIBBEAN DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BOWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-786-1734
Mailing Address - Street 1:10705 GATEWAY BLVD W STE J
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-4921
Mailing Address - Country:US
Mailing Address - Phone:972-786-1734
Mailing Address - Fax:
Practice Address - Street 1:10705 GATEWAY BLVD W STE J
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-4921
Practice Address - Country:US
Practice Address - Phone:972-786-1734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty