| La Casa School Dental Clinic | |
|
1400 Cameo St Clovis NM 88101-5401 | |
| (575) 769-4400 | |
| Not Available |
| Full Name | La Casa School Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1400 Cameo St, Clovis, New Mexico |
| Authorized Official Name and Position | Seferino Montano (CEO) |
| Authorized Official Contact | 5753566695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Casa School Dental Clinic Po Box 843 Portales NM 88130-0843 Ph: (575) 356-6695 | La Casa School Dental Clinic 1400 Cameo St Clovis NM 88101-5401 Ph: (575) 769-4400 |
| NPI Number | 1588960959 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 02/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588960959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
News Archive
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› Verified 2 days ago
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Lockmiller Health & Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 608 North Prince Street, Suite C, Clovis, NM 88101 Phone: 575-742-8911 Fax: 575-742-8902 | |
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