Organization
NORTHERN NEW MEXICO PERIODONTAL ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DEAN PARKER D.D.S (PRESIDENT)
(505) 988-8822
Entity
Organization
Contact information
Practice address
318 GRANT AVE, SANTA FE, NM 87501-1933
(505) 988-8822
(505) 988-8824
Mailing address
318 GRANT AVE, SANTA FE, NM 87501-1933
(505) 988-8822
(505) 988-8824
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DD1125
NM
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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