Organization
ZACHCURRIEDDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH CURRIE DDS (OWNER)
(505) 281-0373
Entity
Organization
Contact information
Practice address
1851 OLD US 66 STE C, EDGEWOOD, NM 87015-6784
(505) 281-0373
Mailing address
PO BOX 2560, EDGEWOOD, NM 87015-2560
(505) 281-0373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3377
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396870861
ASSOCIATE
—
01
—
1710297486
DENTIST
—
Enumeration date
06/28/2018
Last updated
06/28/2018
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