Golden Skillet, LLC

NPI #1215665377 in Belen, New Mexico

Provider Information

NPI Number: 1215665377
Entity Type: Organization
Organization Name: Golden Skillet, LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 8, 2022
Last Updated: Aug 8, 2022

Practice Location

Address: 703 CHRISTOPHER DR
City: Belen
State: New Mexico
ZIP Code: 87002-2617
Phone: (505) 864-7781

Authorized Official

Name: JOHN WILLIAM DIETERICHS
Title: OWNER
Phone: (505) 859-5934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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