OUTREACH DENTAL, LLC

GALLUP, NM
NPI1982033700
Entity TypeOrganization
Authorized ContactSTEPHEN SCOT GRAHAM
Owner
505-863-7887
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  DD1995)
Enumeration Date2013-11-02
Last Update Date2013-11-02
Business Address
OUTREACH DENTAL, LLC
1700 HELENA DR
GALLUP, NM 87301-5610
Phone number: 505-863-7887
Mailing Address
OUTREACH DENTAL, LLC
PO BOX 969
GALLUP, NM 87305-0969
Phone number: 505-863-7887
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