DENTAL STUDIO ON 30TH STREET PC

FARMINGTON, NM
NPI1093111270
Entity TypeOrganization
Authorized ContactJOSEPH WILSON
Owner
505-360-9592
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  DD3399)
Enumeration Date2014-11-14
Last Update Date2014-11-14
Business Address
DENTAL STUDIO ON 30TH STREET PC
2401 E 30TH ST
FARMINGTON, NM 87401-8939
Phone number: 505-325-8858
Mailing Address
DENTAL STUDIO ON 30TH STREET PC
2401 E 30TH ST
FARMINGTON, NM 87401-8939
Phone number: 505-325-8858
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