Santa Fe Family Dentistry & Orthodontics LLC
NPI #1255975736 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1255975736
- Entity Type
- Organization
- Organization Name
- Santa Fe Family Dentistry & Orthodontics LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 29, 2019
- Last Updated
- Oct 29, 2019
Practice Location
- Address
- 1406 LUISA ST STE 1
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-4161
- Phone
- (505) 988-5850
Authorized Official
- Name
- FAITH GASKINS
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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