EASTERN NEW MEXICO ENDODONTICS, PC

CLOVIS, NM
NPI1093261455
Entity TypeOrganization
Authorized ContactCHAD RICKY SOUTHARD
Administrator
806-797-4455
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2016-08-26
Last Update Date2016-08-26
Business Address
EASTERN NEW MEXICO ENDODONTICS, PC
2000 W 21ST ST SUITE L1
CLOVIS, NM 88101-4087
Phone number: 575-762-8000
Mailing Address
EASTERN NEW MEXICO ENDODONTICS, PC
2000 W 21ST ST SUITE L1
CLOVIS, NM 88101-4087
Phone number: 575-762-8000
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