Organization
NMBFD LTD
Active
Other names
Bosque Farms Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DANA SEXTON (GENERAL MANAGER)
(810) 941-8983
Entity
Organization
Contact information
Practice address
1430 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068-9326
(505) 869-2371
Mailing address
4146 NEUMAN RD, SAINT CLAIR, MI 48079-3234
(810) 941-8983
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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