Taos Dental Group
NPI #1609267632 in Taos, New Mexico
Provider Information
- NPI Number
- 1609267632
- Entity Type
- Organization
- Organization Name
- Taos Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 12, 2015
- Last Updated
- Feb 12, 2015
Practice Location
- Address
- 1392 WEIMER RD
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571-5307
- Phone
- (575) 758-8654
Authorized Official
- Name
- DR. JUSTIN NYLUND, DDS
- Title
- DENTIST
- Phone
- (575) 758-8654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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