Farmington Oral & Maxillofacial Surgical Clinic

NPI 1801963939 - Dentist - 1223S0112X

NPI Details
NPI 1801963939
Enumeration Date 11/30/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHERYL J CHERYL
Position OFFICE MANAGER
Phone (505) 590-9085
Fax
Practice Location
20 CR 6070
FARMINGTON NM, 87401, US
Phone (505) 590-9085
Fax
Business Location
PO BOX 2872
SURGICAL CLINIC INC
KIRTLAND NM, 87417-2872, US
Phone (505) 598-9085
Fax (505) 598-1156
Toxanomy
Taxonomy Code 1223S0112X
License State New Mexico
License Number NMDD1931
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According to our database, Farmington Oral & Maxillofacial Surgical Clinic NPI is 1801963939, taxonomy code is 1223S0112X and license number is NMDD1931, license state is located at New Mexico. Farmington Oral & Maxillofacial Surgical Clinic physically located at 20 Cr 6070, Farmington NM, 87401. NPI Number 1033115704 has the healthcare provider type.

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1801963939 NPI number is provided on an as is basis without warranty of any kind. 1801963939 is maintained by the National Plan & Provider Enumeration System. The contents of Farmington Oral & Maxillofacial Surgical Clinic are for informational purposes only.