Pueblo of Isleta

NPI #1225158348 in Isleta, New Mexico

Provider Information

NPI Number
1225158348
Entity Type
Organization
Organization Name
Pueblo of Isleta
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Mar 30, 2007
Last Updated
May 17, 2017

Practice Location

Address
01 SAGEBRUSH RD
City
Isleta
ZIP Code
87022-0000
Phone
(505) 869-4863

Authorized Official

Name
MRS. VOLELLE K ZAMORA
Title
CEO
Phone
(505) 869-4094

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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