Four Corners Orthodontics Centers Inc

NPI 1730232588 - Dentist - 1223G0001X

NPI Details
NPI 1730232588
Enumeration Date 01/18/2007
Last Updated 10/24/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAVID DAVID
Position ORHTODONTIST
Phone (505) 564-9000
Fax (505) 564-9100
Practice Location
3751 N BUTLER AVE
SUITE 113
FARMINGTON NM, 87401-6435, US
Phone (505) 564-9000
Fax (505) 564-9100
Business Location
3751 N BUTLER AVE
SUITE 113
FARMINGTON NM, 87401-6435, US
Phone (505) 564-9000
Fax (505) 564-9100
Toxanomy
Taxonomy Code 1223G0001X
License State New Mexico
License Number DD1859
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According to our database, Four Corners Orthodontics Centers Inc NPI is 1730232588, taxonomy code is 1223G0001X and license number is DD1859, license state is located at New Mexico. Four Corners Orthodontics Centers Inc physically located at 3751 N Butler Ave, Farmington NM, 87401-6435. NPI Number 1033115704 has the healthcare provider type.

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1730232588 NPI number is provided on an as is basis without warranty of any kind. 1730232588 is maintained by the National Plan & Provider Enumeration System. The contents of Four Corners Orthodontics Centers Inc are for informational purposes only.