Ncdi - Animas Professional, LLP
NPI #1104277482 in Farmington, New Mexico
Provider Information
- NPI Number
- 1104277482
- Entity Type
- Organization
- Organization Name
- Ncdi - Animas Professional, LLP
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jun 28, 2016
- Last Updated
- Jun 28, 2016
Practice Location
- Address
- 2650 E PINON FRONTAGE RD
- Address 2
- BLDG #200
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87402-5084
- Phone
- (505) 599-9359
Authorized Official
- Name
- MARK D CRANE, D.D.S., M.S.
- Title
- MANAGING PARTNER
- Phone
- (970) 223-8687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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