Dental Innovations of Gallup
NPI #1528315074 in Gallup, New Mexico
Provider Information
- NPI Number
- 1528315074
- Entity Type
- Organization
- Organization Name
- Dental Innovations of Gallup
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 14, 2012
- Last Updated
- Aug 14, 2012
Practice Location
- Address
- 214 W AZTEC AVE
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-6302
- Phone
- (505) 863-4457
Authorized Official
- Name
- DR. RICHARD PAUL BAKER, DDS
- Title
- OWNER
- Phone
- (505) 863-4457
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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