A to Z Children's Dental Clinic, LLC
NPI #1275738668 in Grants, New Mexico
Provider Information
- NPI Number
- 1275738668
- Entity Type
- Organization
- Organization Name
- A to Z Children's Dental Clinic, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 805 E HIGH ST
- City
- Grants
- State
- New Mexico
- ZIP Code
- 87020-2448
- Phone
- (505) 876-1065
Authorized Official
- Name
- DR. MARCELLUS GLADNEY, D.M.D.
- Title
- PRESIDENT
- Phone
- (505) 876-1065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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