Organization
THIRTY-TWO PEARLS SMILE SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANN JODY MCCAULEY R.N. R.D.H (OWNER)
(575) 236-1001
Entity
Organization
Contact information
Practice address
114 W FOX ST, CARLSBAD, NM 88220-6212
(575) 236-1001
Mailing address
PO BOX 3087, CARLSBAD, NM 88221-3087
(575) 236-1001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DH1521
NM
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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