Animas Pediatric Dental Group

NPI 1295823177

Information of Animas Pediatric Dental Group

The NPI 1295823177 is an Organization type. NPI No 1295823177 belongs to Animas Pediatric Dental Group. Animas Pediatric Dental Group specializes in Pediatric Dentistry. is practising at 2650 E Pinon Frontage Rd. Bldg. 200, Farmington, New Mexico 87402. You can also contact him via phone number (505) 599-9359.

Practice address located

  • 2650 E Pinon Frontage Rd. Bldg. 200
  • Farmington, New Mexico 87402
  • (505) 599-9359
  • (505) 599-9359

Mailling address located

  • 2650 E Pinon Frontage Rd. Bldg. 200
  • Farmington, New Mexico 87402
  • (505) 599-9359
  • (505) 599-8177
NPI No 1295823177
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes1223P0221XPediatric DentistryD1997New Mexico
No1223P0221XPediatric DentistryDD1997New Mexico
Identifier for this provider
StateIdentifierTypeIssuer
NM00076517Medicaidn/a
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