Organization
FARMINGTON ORAL & MAXILLOFACIAL SURGICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL J JAMES (OFFICE MANAGER)
(505) 598-9085
Entity
Organization
Contact information
Practice address
20 CR 6070, FARMINGTON, NM 87401
(505) 590-9085
Mailing address
PO BOX 2872, SURGICAL CLINIC INC, KIRTLAND, NM 87417-2872
(505) 598-9085
(505) 598-1156
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
NMDD1931
NM
Other
Enumeration date
11/30/2006
Last updated
08/22/2020
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