| Community Dental Clinic | |
|
31 Gail Harris St Roswell NM 88203-8190 | |
| (575) 347-3462 | |
| Not Available |
| Full Name | Community Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 31 Gail Harris St, Roswell, New Mexico |
| Authorized Official Name and Position | Jane Batson (DIVISION CHAIR) |
| Authorized Official Contact | 5756247233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dental Clinic Po Box 6000 Roswell NM 88202-6000 Ph: (575) 624-7233 | Community Dental Clinic 31 Gail Harris St Roswell NM 88203-8190 Ph: (575) 347-3462 |
| NPI Number | 1386813087 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386813087 | NPI | - | NPPES |
| 010962 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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