Organization
NEON KIDS DENTAL OF FARMINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SALAZAR (BILLING)
(505) 592-0482
Entity
Organization
Contact information
Practice address
4760 N BUTLER AVE STE C, FARMINGTON, NM 87401-0816
(505) 592-0482
Mailing address
4760 N BUTLER AVE STE B, FARMINGTON, NM 87401-0816
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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