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Organization

WARTELL ENTERPRISES, LLC

Active
Other names
Center For Dental Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAT WARTELL (OWNER)
(505) 474-4644
Entity
Organization

Contact information

Practice address
2019 GALISTEO ST, J2, SANTA FE, NM 87505-2143
(505) 474-4644
Mailing address
2019 GALISTEO ST, J2, SANTA FE, NM 87505-2143
(505) 474-4644

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1971
NM

Other

Enumeration date
03/28/2008
Last updated
07/29/2008
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