Organization
DARMITZEL ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN E DARMITZEL DDS, MS (ORTHODONTIST)
(505) 982-6656
Entity
Organization
Contact information
Practice address
400 KIVA CT STE A, SANTA FE, NM 87505-5878
(505) 982-6656
Mailing address
400 KIVA CT STE A, SANTA FE, NM 87505-5878
(505) 982-6656
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD3490
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43523781
—
NM
Enumeration date
08/06/2012
Last updated
11/16/2014
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