6588 East Main Farmington LLC
NPI #1154934818 in Farmington, New Mexico
Provider Information
- NPI Number
- 1154934818
- Entity Type
- Organization
- Organization Name
- 6588 East Main Farmington LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 24, 2020
- Last Updated
- Aug 24, 2020
Practice Location
- Address
- 6588 E MAIN ST
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87402-5122
- Phone
- (505) 326-6800
Authorized Official
- Name
- PAM DRAPER
- Title
- OFFICE MANAGER
- Phone
- (505) 326-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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