Organization
J&J DENTISTRY, LLC
Active
Other names
Dental Arts of Santa Fe
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MERVAU (DENTIST/CEO)
(269) 908-1589
Entity
Organization
Contact information
Practice address
312 CATRON ST, SANTA FE, NM 87501-1806
(505) 986-0606
Mailing address
312 CATRON ST, SANTA FE, NM 87501-1806
(505) 986-0606
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548648611
NPI
—
01
—
1700298387
NPI
—
Enumeration date
03/12/2021
Last updated
03/12/2021
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