Hollywood Orthodontics | |
1213c Us Highway 491 Gallup NM 87301-4820 | |
(505) 979-5600 | |
Not Available |
Full Name | Hollywood Orthodontics |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1213c Us Highway 491, Gallup, New Mexico |
Authorized Official Name and Position | John Melvin Morris (OWNER) |
Authorized Official Contact | 4804525134 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hollywood Orthodontics 1910 E Willow Tree Ct Gilbert AZ 85234-4932 Ph: (480) 452-5134 | Hollywood Orthodontics 1213c Us Highway 491 Gallup NM 87301-4820 Ph: (505) 979-5600 |
NPI Number | 1679016414 |
---|---|
Provider Enumeration Date | 11/28/2016 |
Last Update Date | 11/28/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679016414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DD3609 (New Mexico) | Primary |
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Hollywood Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213c Us Highway 491, Gallup, NM 87301 Phone: 505-979-5600 |