Organization
SANTA FE CHILDREN'S DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES TASKER (OWNER)
(505) 892-9010
Entity
Organization
Contact information
Practice address
2008 SAINT MICHAELS DR, SUITE B, SANTA FE, NM 87505-7682
(505) 892-9010
(505) 899-4804
Mailing address
8201 GOLF COURSE RD NW, SUITE C-3, ALBUQUERQUE, NM 87120-5842
(505) 892-9010
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/21/2014
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