Organization
BELEN FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYSON GARCIA-GURULE DDS (GENERAL DENTIST)
(505) 615-2999
Entity
Organization
Contact information
Practice address
1501 E RIVER RD, BELEN, NM 87002-7429
(505) 864-6969
(505) 864-9310
Mailing address
1501 E RIVER RD, BELEN, NM 87002-7429
(505) 864-6969
(505) 864-9310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73150037
—
NM
Enumeration date
03/09/2020
Last updated
03/09/2020
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