Organization
ENDODONTICS OF NEW MEXICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYROUS ARDALAN DMD (OWNER)
(617) 686-6629
Entity
Organization
Contact information
Practice address
539 HARKLE RD STE C, SANTA FE, NM 87505-4783
(617) 686-6629
Mailing address
1852 FOREST CIR, SANTA FE, NM 87505-4505
(617) 686-6629
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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