Clovis Family Dentistry, LLC
NPI #1336505916 in Clovis, New Mexico
Provider Information
- NPI Number
- 1336505916
- Entity Type
- Organization
- Organization Name
- Clovis Family Dentistry, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 12, 2016
- Last Updated
- Jan 12, 2016
Practice Location
- Address
- 2000 W 21ST ST STE L1
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-1400
- Phone
- (575) 762-8000
Authorized Official
- Name
- JULIE D BRIDGES
- Title
- MEMBER
- Phone
- (575) 356-8514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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