Organization
VALENCIA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC M SMITH DDS (OWNER)
(505) 865-9788
Entity
Organization
Contact information
Practice address
3472 STATE HIGHWAY 47, LOS LUNAS, NM 87031-8222
(505) 865-9788
(505) 565-0422
Mailing address
PO BOX 1298, LOS LUNAS, NM 87031-1298
(505) 865-9788
(505) 565-0422
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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