Santa Fe Dentist Office, LLC
NPI #1982062048 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1982062048
- Entity Type
- Organization
- Organization Name
- Santa Fe Dentist Office, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 4, 2016
- Last Updated
- Feb 7, 2022
Practice Location
- Address
- 5131 MAIN STREET
- Address 2
- 101
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87507
- Phone
- (505) 209-9080
Authorized Official
- Name
- DR. KELLEY HOLLINGSWORTH RYALS, DDS
- Title
- OWNER DENTIST
- Phone
- (505) 209-9080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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