Organization
QUANYIN, LLC
Active
Other names
Santa Fe Soul
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN BENSON DOM (OWNER)
(505) 986-1089
Entity
Organization
Contact information
Practice address
2905 RODEO PARK DR E BLDG 3, SANTA FE, NM 87505-6313
(505) 986-1089
(505) 986-0194
Mailing address
2905 RODEO PARK DR E BLDG 3, SANTA FE, NM 87505-6313
(505) 986-1089
(505) 986-0194
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2018
Last updated
07/31/2019
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