Organization
CHINEA DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA CHINEA (CEO)
(575) 268-1679
Entity
Organization
Contact information
Practice address
2101 S 1ST ST, TUCUMCARI, NM 88401-3807
(575) 268-1679
(505) 990-7514
Mailing address
2101 S 1ST ST, TUCUMCARI, NM 88401-3807
(575) 268-1679
(505) 990-7514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3249
NM
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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