Taos County Dental LLC
NPI #1881103026 in Taos, New Mexico
Provider Information
- NPI Number
- 1881103026
- Entity Type
- Organization
- Organization Name
- Taos County Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 20, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 105 PASEO DEL CANON W STE B
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571-6943
- Phone
- (575) 758-3205
Authorized Official
- Name
- MRS. MICHELLE OLSON
- Title
- REGIONAL HUMAN RESOURCE DIRECTOR
- Phone
- (719) 344-5693
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Clinic/Center - Dental — Dental |
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