Organization
DIVINE DENTAL OF SANTA FE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESMAEL R VALDEZ D.D.S (CO-OWNER)
(505) 454-8483
Entity
Organization
Contact information
Practice address
550 SAINT MICHAELS DR STE B, SANTA FE, NM 87505-7610
(505) 471-7000
Mailing address
550 SAINT MICHAELS DR STE B, SANTA FE, NM 87505-7610
(505) 471-7000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2351
NM
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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