Patricia B. Valdivia D.d.s.,p.c. | |
1209 Bonita St Grants NM 87020-2103 | |
(505) 876-4034 | |
(505) 876-4036 |
Full Name | Patricia B. Valdivia D.d.s.,p.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 1209 Bonita St, Grants, New Mexico |
Authorized Official Name and Position | Patricia B Valdivia (OWNER) |
Authorized Official Contact | 5058764034 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Patricia B. Valdivia D.d.s.,p.c. 1209 Bonita St Grants NM 87020-2103 Ph: (505) 876-4034 | Patricia B. Valdivia D.d.s.,p.c. 1209 Bonita St Grants NM 87020-2103 Ph: (505) 876-4034 |
NPI Number | 1386817765 |
---|---|
Provider Enumeration Date | 04/08/2008 |
Last Update Date | 04/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386817765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 1637 (New Mexico) | Primary |
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