Northern New Mexico Periodontal Assoc.
NPI #1043371842 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1043371842
- Entity Type
- Organization
- Organization Name
- Northern New Mexico Periodontal Assoc.
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 318 GRANT AVE
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87501-1933
- Phone
- (505) 988-8822
Authorized Official
- Name
- DR. WILLIAM DEAN PARKER, D.D.S
- Title
- PRESIDENT
- Phone
- (505) 988-8822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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