SAN MIGUEL DENTAL

LAS VEGAS, NM
NPI1033400601
Entity TypeOrganization
Authorized ContactWILFRED B PACHECO
Owner
505-425-6434
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  DD1606)
Enumeration Date2011-04-29
Last Update Date2011-04-29
Business Address
SAN MIGUEL DENTAL
2503 RIDGE RUNNER RD
LAS VEGAS, NM 87701-4972
Phone number: 505-425-6434
Mailing Address
SAN MIGUEL DENTAL
2503 RIDGE RUNNER RD
LAS VEGAS, NM 87701-4972
Phone number: 505-425-6434