Organization
MAIN STREET DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD PHILIP UILKIE D.D.S. (PRESIDENT)
(505) 865-3395
Entity
Organization
Contact information
Practice address
705 MAIN ST SW, LOS LUNAS, NM 87031-8308
(505) 865-3395
(505) 865-1414
Mailing address
705 MAIN ST SW, LOS LUNAS, NM 87031-8308
(505) 865-3395
(505) 865-1414
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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