Gallup Childrens Dentistry

NPI 1013353127 - Dentist - 122300000X

NPI Details
NPI 1013353127
Enumeration Date 05/15/2013
Last Updated 05/15/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JIM JIM
Position OWNER
Phone (505) 892-9010
Fax
Practice Location
802 US HIGHWAY 491
GALLUP NM, 87301-5388, US
Phone (505) 892-9010
Fax
Business Location
802 US HIGHWAY 491
GALLUP NM, 87301-5388, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
Remove 1013353127 NPI Number
 

According to our database, Gallup Childrens Dentistry NPI is 1013353127, taxonomy code is 122300000X Gallup Childrens Dentistry physically located at 802 Us Highway 491, Gallup NM, 87301-5388. NPI Number 1033115704 has the healthcare provider type.

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1013353127 NPI number is provided on an as is basis without warranty of any kind. 1013353127 is maintained by the National Plan & Provider Enumeration System. The contents of Gallup Childrens Dentistry are for informational purposes only.