| Clarice K. Pick, D.D.S., P.C. | |
|
125-a Siringo Road Santa Fe NM 87505-5709 | |
| (505) 982-0094 | |
| (505) 982-9993 |
| Full Name | Clarice K. Pick, D.D.S., P.C. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 125-a Siringo Road, Santa Fe, New Mexico |
| Authorized Official Name and Position | Clarise K. Pick (OWNER/PRESIDENT) |
| Authorized Official Contact | 5059820094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarice K. Pick, D.D.S., P.C. 125-a Siringo Road Santa Fe NM 87505-5709 Ph: (505) 982-0094 | Clarice K. Pick, D.D.S., P.C. 125-a Siringo Road Santa Fe NM 87505-5709 Ph: (505) 982-0094 |
| NPI Number | 1811288699 |
|---|---|
| Provider Enumeration Date | 04/27/2011 |
| Last Update Date | 04/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811288699 | NPI | - | NPPES |
| 89433 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 1607 (New Mexico) | Primary |
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