# JAL HOSPITAL DISTRICT

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

## Provider details

- **NPI number:** 1982890737
- **Authorized official:** MS. ERIN DECK (BUSINESS ADMINISTRATOR)
- **Authorized official phone:** (575) 395-3400

## Contact information

- **Practice address:** 310 CONTINENTAL ST SUITE 106, JAL, NM 88252
- **Practice address phone:** (575) 395-2205
- **Practice address fax:** (575) 395-2209
- **Mailing address:** PO DRAWER Z, 310 CONTINENTAL ST SUITE 106, JAL, NM 88252
- **Mailing address phone:** (575) 395-2205
- **Mailing address fax:** (575) 395-2209

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2007
- **Last updated:** 12/13/2023