# CORRECTIONAL HEALTHCARE COMPANIES

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

## Provider details

- **NPI number:** 1154637767
- **Authorized official:** BARBARA G SALAZAR (REGIONAL DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (505) 898-3884

## Contact information

- **Practice address:** 100 JOHN DANTIS RD SW, ALBUQUERQUE, NM 87151-0100
- **Practice address phone:** (505) 839-8855
- **Mailing address:** 6200 S SYRACUSE WAY STE 400, GREENWOOD VILLAGE, CO 80111-4737
- **Mailing address phone:** (505) 898-3884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD1292 | NM | Yes |

## Other

- **Enumeration date:** 08/20/2010
- **Last updated:** 08/20/2010