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Organization
VFD LTD
Active
Organization
VFD LTD
Active
Other names
Valencia Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J SMITH DDS (OWNER)
(505) 865-9788
Entity
Organization
Contact information
Practice address
3472 MAIN STREET NE, 3472 MAIN STREET NE, LOS LUNAS, NM 87031
(505) 865-9788
(505) 565-0422
Mailing address
3472 MAIN STREET NE, 3472 MAIN STREET NE, LOS LUNAS, NM 87031
(505) 865-9788
(505) 565-0422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/11/2015
Last updated
05/21/2019
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