Organization
BD SANTA FE LLC
Active
Other names
Divine dental of santa fe
Organization subpart
No
Provider details
NPI number
Authorized official
ESMAEL VALDEZ DDS (OWNER)
(505) 603-9143
Entity
Organization
Contact information
Practice address
550B ST MICHAELS DR, SUITE 2, SANTA FE, NM 87505
(505) 471-7000
Mailing address
550B ST MICHAELS DR, SUITE 2, SANTA FE, NM 87505
(505) 471-7000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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