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Organization
NEW MEXICO DEPARTMENT OF HEALTH
Active
Organization
NEW MEXICO DEPARTMENT OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JOHN PADILLA D.D.S. (DENTAL DIRECTOR)
(505) 827-0015
Entity
Organization
Contact information
Practice address
1190 S SAINT FRANCIS DR, SANTA FE, NM 87505-4173
(505) 827-0015
(505) 827-0021
Mailing address
1190 S SAINT FRANCIS DR, SANTA FE, NM 87505-4173
(505) 827-0015
(505) 827-0021
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
E6603
NM
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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