| Sundance Dental Care Of Grants | |
|
920 Lobo Canyon Rd Grants NM 87020-2173 | |
| (505) 722-4422 | |
| (505) 722-2060 |
| Full Name | Sundance Dental Care Of Grants |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 920 Lobo Canyon Rd, Grants, New Mexico |
| Authorized Official Name and Position | Michael D King (OWNER) |
| Authorized Official Contact | 5057224422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundance Dental Care Of Grants 1601 S Second St Gallup NM 87301-5816 Ph: (505) 722-4422 | Sundance Dental Care Of Grants 920 Lobo Canyon Rd Grants NM 87020-2173 Ph: (505) 722-4422 |
| NPI Number | 1467818518 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 01/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467818518 | NPI | - | NPPES |
| 97524239 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2966 (New Mexico) | Primary |
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› Verified 8 days ago
A To Z Children's Dental Clinic, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 E High St, Grants, NM 87020 Phone: 505-876-1065 | |
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Southwest Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Lincoln Ave, Grants, NM 87020 Phone: 505-287-2000 | |
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