| Valencia Family Dentistry | |
|
3472 Main Street Ne 3472 Main Street Ne Los Lunas NM 87031 | |
| (505) 865-9788 | |
| (505) 565-0422 |
| Full Name | Valencia Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3472 Main Street Ne, Los Lunas, New Mexico |
| Authorized Official Name and Position | Timothy J Smith (OWNER) |
| Authorized Official Contact | 5058659788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valencia Family Dentistry 3472 Main Street Ne 3472 Main Street Ne Los Lunas NM 87031 Ph: (505) 865-9788 | Valencia Family Dentistry 3472 Main Street Ne 3472 Main Street Ne Los Lunas NM 87031 Ph: (505) 865-9788 |
| NPI Number | 1790153484 |
|---|---|
| Provider Enumeration Date | 09/11/2015 |
| Last Update Date | 05/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790153484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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