Organization
SANTA FE FAMILY DENTISTRY & ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1406 LUISA ST STE 1, SANTA FE, NM 87505-4161
(505) 988-5850
Mailing address
1406 LUISA ST STE 1, SANTA FE, NM 87505-4161
(505) 988-5850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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