Organization
EASTERN NEW MEXICO UNIVERSITY-ROSWELL BRANCH COMMUNITY COLLEGE
Active
Other names
Community Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE BATSON RN (DIVISION CHAIR)
(575) 624-7233
Entity
Organization
Contact information
Practice address
31 GAIL HARRIS ST, ROSWELL, NM 88203-8190
(575) 347-3462
Mailing address
PO BOX 6000, ROSWELL, NM 88202-6000
(575) 624-7233
(575) 624-7100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010962
—
NM
Enumeration date
02/27/2008
Last updated
07/10/2008
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