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1467818518
SUNDANCE DENTAL CARE OF GRANTS
GRANTS, NM
NPI
1467818518
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Entity Type
Organization
Authorized Contact
MICHAEL D KING
Owner
505-722-4422
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM 2966)
Enumeration Date
2016-01-05
Last Update Date
2016-01-05
Business Address
SUNDANCE DENTAL CARE OF GRANTS
920 LOBO CANYON RD
GRANTS, NM 87020-2173
Phone number: 505-722-4422
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Mailing Address
SUNDANCE DENTAL CARE OF GRANTS
1601 S SECOND ST
GALLUP, NM 87301-5816
Phone number: 505-722-4422
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