Organization
PUEBLO DE NINOS DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A BORRERO DDS (PRESIDENT)
(505) 603-5594
Entity
Organization
Contact information
Practice address
3252 CERRILLOS RD STE A, SANTA FE, NM 87507-3001
(505) 603-5594
Mailing address
3001 SANDIA CIR, SANTA FE, NM 87507-2527
(505) 603-5594
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DD3017
NM
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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