Organization
DENTAL DEL SOL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN GOMEZ-BARTEK D.D.S. (OWNER DENTIST)
(505) 310-3603
Entity
Organization
Contact information
Practice address
1533 S SAINT FRANCIS DR STE F, SANTA FE, NM 87505-4032
(505) 954-1073
Mailing address
1533 S SAINT FRANCIS DR STE F, SANTA FE, NM 87505-4032
(505) 954-1073
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DD2992
NM
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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