Organization
KIDS DENTAL PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM NICHOLS DDS (DIRECTOR)
(505) 660-5081
Entity
Organization
Contact information
Practice address
751 TRINITY DR STE 305, LOS ALAMOS, NM 87544-3356
(505) 661-9060
Mailing address
751 TRINITY DR STE 305, LOS ALAMOS, NM 87544-3356
(505) 661-9060
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2013
Last updated
08/02/2016
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