Organization
KIDSKARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CURTIS WOOLF (CHIEF ADMINISTRATIVE OFFICER)
(719) 242-7210
Entity
Organization
Contact information
Practice address
1405 S VALLEY DR STE 200, LAS CRUCES, NM 88005-3132
(575) 532-5437
(575) 532-1005
Mailing address
1405 S VALLEY DR STE 200, LAS CRUCES, NM 88005-3132
(575) 532-5437
(575) 532-1005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
907446
—
AZ
05
—
J1471
—
NM
Enumeration date
10/25/2005
Last updated
03/17/2018
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