Pueblo De Cochiti
NPI #1184855504 in Cochiti Pueblo, New Mexico
Provider Information
- NPI Number
- 1184855504
- Entity Type
- Organization
- Organization Name
- Pueblo De Cochiti
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 3, 2009
- Last Updated
- Jul 17, 2012
Practice Location
- Address
- 255 COCHITI ST
- City
- Cochiti Pueblo
- State
- New Mexico
- ZIP Code
- 87072-9998
- Phone
- (505) 465-2244
Authorized Official
- Name
- PHILIP QUINTANA
- Title
- GOVERNOR
- Phone
- (505) 465-2244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
| Clinic/Center - Dental — Dental |
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