Valdas Childrens Dental

NPI 1134332596 - Dentist - 1223P0221X

NPI Details
NPI 1134332596
Enumeration Date 05/08/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EDUARDO EDUARDO
Position OWNER
Phone (505) 870-6128
Fax
Practice Location
107 W GREEN ST
GALLUP NM, 87301-6241, US
Phone (505) 870-6128
Fax
Business Location
1401 LINDA DR
GALLUP NM, 87301-5615, US
Phone (505) 870-6128
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State New Mexico
License Number DD2159
Remove 1134332596 NPI Number
 

According to our database, Valdas Childrens Dental NPI is 1134332596, taxonomy code is 1223P0221X and license number is DD2159, license state is located at New Mexico. Valdas Childrens Dental physically located at 107 W Green St, Gallup NM, 87301-6241. NPI Number 1033115704 has the healthcare provider type.

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1134332596 NPI number is provided on an as is basis without warranty of any kind. 1134332596 is maintained by the National Plan & Provider Enumeration System. The contents of Valdas Childrens Dental are for informational purposes only.