Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc.
NPI #1427897701 in Roswell, New Mexico
Provider Information
- NPI Number
- 1427897701
- Entity Type
- Organization
- Organization Name
- Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 24, 2024
- Last Updated
- May 24, 2024
Practice Location
- Address
- 317 W COUNTRY CLUB RD
- City
- Roswell
- State
- New Mexico
- ZIP Code
- 88201-5892
- Phone
- (505) 850-6700
Authorized Official
- Name
- DR. SANEAL NARENDRA MISTRY, DDS
- Title
- OWNER
- Phone
- (505) 850-6700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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