Organization
SALUD DENTAL GROUP CHAPARRAL
Active
Other names
Salud Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SANTISTEVAN (MANAGER)
(505) 833-1550
Entity
Organization
Contact information
Practice address
320 MCCOMBS RD STE E, CHAPARRAL, NM 88081-7937
(505) 833-1550
Mailing address
320 MCCOMBS RD STE E, CHAPARRAL, NM 88081-7937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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