Organization
DENTAL DESIGNS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG CARDON DMD (PRESIDENT)
(505) 369-5930
Entity
Organization
Contact information
Practice address
1521 W 18TH ST, PORTALES, NM 88130-7018
(505) 369-5930
Mailing address
145 SHARPS AVE, CLOVIS, NM 88101-9528
(505) 369-5930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3331
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33427062
—
NM
Enumeration date
10/31/2011
Last updated
10/31/2011
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