New Mexico Professional Dental
NPI #1073859385 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1073859385
- Entity Type
- Organization
- Organization Name
- New Mexico Professional Dental
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NEW MEXICO PROFESSIONAL DENTAL
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 14, 2012
- Last Updated
- Dec 14, 2012
Practice Location
- Address
- 444 SAINT MICHAELS DR
- Address 2
- SUITE B
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-7620
- Phone
- (217) 540-5100
Authorized Official
- Name
- MARIE KUHL
- Title
- CREDENTIALING MANAGER
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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