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Organization
WARTELL ENTERPRISES, LLC
Active
Organization
WARTELL ENTERPRISES, LLC
Active
Other names
Center For Dental Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAT WARTELL (OWNER)
(505) 474-4644
Entity
Organization
Contact information
Practice address
2019 GALISTEO ST, J2, SANTA FE, NM 87505-2143
(505) 474-4644
Mailing address
2019 GALISTEO ST, J2, SANTA FE, NM 87505-2143
(505) 474-4644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1971
NM
Other
Enumeration date
03/28/2008
Last updated
07/29/2008
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