New Mexico Dental Institute INC
NPI #1366101305 in Socorro, New Mexico
Provider Information
- NPI Number
- 1366101305
- Entity Type
- Organization
- Organization Name
- New Mexico Dental Institute INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 16, 2021
- Last Updated
- Dec 16, 2021
Practice Location
- Address
- 204B NEEL AVE
- City
- Socorro
- State
- New Mexico
- ZIP Code
- 87801-4649
- Phone
- (575) 993-5032
Authorized Official
- Name
- DR. GEORGE HANNA
- Title
- OWNER
- Phone
- (575) 993-5032
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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