Provider Demographics
NPI:1821822412
Name:GOOD NIGHT EL PASO LLC
Entity type:Organization
Organization Name:GOOD NIGHT EL PASO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ADELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:915-373-8074
Mailing Address - Street 1:9398 VISCOUNT BLVD BLDG 1
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-8056
Mailing Address - Country:US
Mailing Address - Phone:915-373-8074
Mailing Address - Fax:
Practice Address - Street 1:9398 VISCOUNT BLVD BLDG 1
Practice Address - Street 2:SUITE C
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-8056
Practice Address - Country:US
Practice Address - Phone:915-373-8074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment