Northern Nm Center for Cosmetic Dentistry INC

NPI #1184157315 in Taos, New Mexico

Provider Information

NPI Number
1184157315
Entity Type
Organization
Organization Name
Northern Nm Center for Cosmetic Dentistry INC
Primary Specialty
Dentist
Enumeration Date
Apr 5, 2017
Last Updated
May 4, 2017

Practice Location

Address
1337 GUSDORF RD
Address 2
SUITE A
City
Taos
ZIP Code
87571-6294
Phone
(575) 751-9661

Authorized Official

Name
DR. KELLIE A HARRIS, DDS
Title
PRESIDENT
Phone
(575) 751-9661

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Dentist

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