Organization
SUNDANCE DENTAL CARE OF BLOOMFIELD, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TORNOW (DENTIST/OWNER)
(505) 326-6800
Entity
Organization
Contact information
Practice address
100 SOUTH FIRST STREET, BLOOMFIELD, NM 87413
(505) 632-3344
Mailing address
6588 E MAIN ST, FARMINGTON, NM 87402-5122
(505) 326-6800
(505) 326-6820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2287
NM
Other
Enumeration date
10/26/2009
Last updated
05/27/2014
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