100 SOUTH BLOOMFIELD PROFESSIONAL, LLC

BLOOMFIELD, NM
NPI1912519067
Entity TypeOrganization
Authorized ContactPETER GRUMBOS
Owner
505-632-3344
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2020-08-20
Last Update Date2020-08-20
Business Address
100 SOUTH BLOOMFIELD PROFESSIONAL, LLC
100 S 1ST ST
BLOOMFIELD, NM 87413-6242
Phone number: 505-632-3344
Mailing Address
100 SOUTH BLOOMFIELD PROFESSIONAL, LLC
100 S 1ST ST
BLOOMFIELD, NM 87413-6242
Phone number: 505-632-3344
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