| NPI | 1689532103 |
|---|---|
| Doing Business As | DIVINE DENTAL OF SANTA FE |
| Entity Type | Organization |
| Authorized Contact | ESMAEL VALDEZ Owner 505-603-9143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-01-13 |
| Last Update Date | 2026-01-13 |