ANIMAS PEDIATRIC DENTAL GROUP

FARMINGTON, NM
NPI1295823177
Entity TypeOrganization
Authorized ContactLAWRENCE SUAZO
Owner
505-599-9359
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: NM  D1997)
Additional Taxonomies1223P0221X Dentist, Pediatric Dentistry
(Licence: NM  DD1997)
Enumeration Date2006-10-10
Last Update Date2014-11-26
Business Address
ANIMAS PEDIATRIC DENTAL GROUP
2650 E PINON FRONTAGE RD. BLDG. 200
FARMINGTON, NM 87402-5061
Phone number: 505-599-9359
Mailing Address
ANIMAS PEDIATRIC DENTAL GROUP
2650 E PINON FRONTAGE RD. BLDG. 200
FARMINGTON, NM 87402-5061
Phone number: 505-599-9359