Organization
CLARICE K. PICK, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARISE K. PICK D.D.S. (OWNER/PRESIDENT)
(505) 982-0094
Entity
Organization
Contact information
Practice address
125-A SIRINGO ROAD, SANTA FE, NM 87505-5709
(505) 982-0094
(505) 982-9993
Mailing address
125-A SIRINGO ROAD, SANTA FE, NM 87505-5709
(505) 982-0094
(505) 982-9993
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1607
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89433
—
NM
Enumeration date
04/27/2011
Last updated
04/27/2011
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