# SUNDANCE DENTAL CARE OF BLOOMFIELD, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023344181
- **Authorized official:** DR. MICHAEL TORNOW (DENTIST/OWNER)
- **Authorized official phone:** (505) 326-6800

## Contact information

- **Practice address:** 100 SOUTH FIRST STREET, BLOOMFIELD, NM 87413
- **Practice address phone:** (505) 632-3344
- **Mailing address:** 6588 E MAIN ST, FARMINGTON, NM 87402-5122
- **Mailing address phone:** (505) 326-6800
- **Mailing address fax:** (505) 326-6820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD2287 | NM | Yes |

## Other

- **Enumeration date:** 10/26/2009
- **Last updated:** 05/27/2014