Sunrise Dental Group PC
NPI #1447638218 in Farmington, New Mexico
Provider Information
- NPI Number
- 1447638218
- Entity Type
- Organization
- Organization Name
- Sunrise Dental Group PC
- Primary Specialty
- Dentist
- Enumeration Date
- May 13, 2015
- Last Updated
- May 13, 2015
Practice Location
- Address
- 141 W 20TH ST
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-3401
- Phone
- (505) 325-7121
Authorized Official
- Name
- DR. CANDICE ELLA CLARK, DDS
- Title
- OWNER/VICE PRESIDENT
- Phone
- (505) 325-7121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
| Dentist |
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