Organization
FARMINGTON ENDODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANN RISHER (OFFICE MANAGER)
(505) 793-4976
Entity
Organization
Contact information
Practice address
708 E 20TH ST, FARMINGTON, NM 87401-4205
(505) 793-4976
(505) 327-6156
Mailing address
PO BOX 2932, FARMINGTON, NM 87499-2932
(505) 793-4976
(505) 327-6156
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DD2551
NM
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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