Esthetic Dental Group LLC
NPI #1699981324 in Farmington, New Mexico
Provider Information
- NPI Number
- 1699981324
- Entity Type
- Organization
- Organization Name
- Esthetic Dental Group LLC
- Primary Specialty
- Dentist
- Enumeration Date
- May 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 708 E 20TH
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401
- Phone
- (505) 327-6155
Authorized Official
- Name
- DR. PHILLIP R DUNN, DDS
- Title
- PARTNER
- Phone
- (505) 327-6155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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