Main Street Dentistry

NPI #1710052543 in Los Lunas, New Mexico

Provider Information

NPI Number
1710052543
Entity Type
Organization
Organization Name
Main Street Dentistry
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Nov 20, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
705 MAIN ST SW
ZIP Code
87031-8308
Phone
(505) 865-3395

Authorized Official

Name
DR. RONALD PHILIP UILKIE, D.D.S.
Title
PRESIDENT
Phone
(505) 865-3395

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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