Dhhs Phs Ihs Acl Laguna Dental Clinic
NPI #1558436261 in New Laguna, New Mexico
Provider Information
- NPI Number
- 1558436261
- Entity Type
- Organization
- Organization Name
- Dhhs Phs Ihs Acl Laguna Dental Clinic
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 21, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- STATE RD #124 EXIT 108 OFF I-40 3 MI NORTH
- Address 2
- LAGUNA DENTAL CLINIC
- City
- New Laguna
- State
- New Mexico
- ZIP Code
- 87038
- Phone
- (505) 552-6645
Authorized Official
- Name
- WILLIAM R THORNE JR.
- Title
- ACL IHS CEO
- Phone
- (505) 552-5301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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