Santa Fe Community College Dental Clinic
NPI #1790953404 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1790953404
- Entity Type
- Organization
- Organization Name
- Santa Fe Community College Dental Clinic
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 15, 2008
- Last Updated
- Feb 15, 2008
Practice Location
- Address
- 6401 S RICHARDS AVE
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87508-4887
- Phone
- (505) 428-1710
Authorized Official
- Name
- ALFRED OTERO, DDS
- Title
- DENTIST
- Phone
- (505) 428-1710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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