Small Fry Dentistry Pc | |
1401 Linda Dr Gallup NM 87301-5615 | |
(505) 870-6128 | |
Not Available |
Full Name | Small Fry Dentistry Pc |
---|---|
Speciality | Dentist |
Location | 1401 Linda Dr, Gallup, New Mexico |
Authorized Official Name and Position | Eduardo Valda (OWNER) |
Authorized Official Contact | 5058706128 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Small Fry Dentistry Pc 1401 Linda Dr Gallup NM 87301-5615 Ph: () - | Small Fry Dentistry Pc 1401 Linda Dr Gallup NM 87301-5615 Ph: (505) 870-6128 |
NPI Number | 1639361371 |
---|---|
Provider Enumeration Date | 08/16/2007 |
Last Update Date | 08/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639361371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DD2150 (New Mexico) | Primary |
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› Verified 9 days ago
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