# SALUD DENTAL GROUP CHAPARRAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Salud Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336796473
- **Authorized official:** LISA SANTISTEVAN (MANAGER)
- **Authorized official phone:** (505) 833-1550

## Contact information

- **Practice address:** 320 MCCOMBS RD STE E, CHAPARRAL, NM 88081-7937
- **Practice address phone:** (505) 833-1550
- **Mailing address:** 320 MCCOMBS RD STE E, CHAPARRAL, NM 88081-7937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2019
- **Last updated:** 08/22/2019