Organization
CONQUISTADOR DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND KENT SANCHEZ II DDS (OWNER)
(505) 864-7000
Entity
Organization
Contact information
Practice address
704 CHRISTOPHER DR, BELEN, NM 87002-2629
(505) 864-2055
Mailing address
704 CHRISTOPHER DR, BELEN, NM 87002-2629
(505) 864-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3285
NM
Other
Enumeration date
10/13/2010
Last updated
07/31/2012
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