Organization
SANTA FE ORAL AND FACIAL SURGERY
Active
Other names
Bonita Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT SCHOW (OWNER)
(505) 988-2121
Entity
Organization
Contact information
Practice address
1700 HOSPITAL DR, SANTA FE, NM 87505-4763
(505) 988-2121
Mailing address
1700 HOSPITAL DR, SANTA FE, NM 87505-4763
(505) 988-2121
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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