Angel Fire Dental Corp
NPI #1346802188 in Angel Fire, New Mexico
Provider Information
- NPI Number
- 1346802188
- Entity Type
- Organization
- Organization Name
- Angel Fire Dental Corp
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 2, 2019
- Last Updated
- Jul 2, 2019
Practice Location
- Address
- 27479 HWY 64
- City
- Angel Fire
- State
- New Mexico
- ZIP Code
- 87710
- Phone
- (575) 214-4369
Authorized Official
- Name
- TIMOTHY DOOLIN, DMD
- Title
- PRESIDENT
- Phone
- (575) 214-4369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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