Organization
PERFECT TEETH - PLAZA DEL SOL P.C.
Active
Other names
Perfect Teeth - Plaza Del Sol P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE SUMMERS (CREDENTIALING)
(303) 285-6098
Entity
Organization
Contact information
Practice address
720 SAINT MICHAELS DR, SUITE O, SANTA FE, NM 87505-7600
(505) 424-7998
(505) 424-7296
Mailing address
720 SAINT MICHAELS DR, SUITE O, SANTA FE, NM 87505-7600
(505) 424-7998
(505) 424-7296
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1398
NM
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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