| Dental Designs, Pc | |
|
1521 W 18th St Portales NM 88130-7018 | |
| (505) 369-5930 | |
| Not Available |
| Full Name | Dental Designs, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1521 W 18th St, Portales, New Mexico |
| Authorized Official Name and Position | Craig Cardon (PRESIDENT) |
| Authorized Official Contact | 5053695930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Designs, Pc 145 Sharps Ave Clovis NM 88101-9528 Ph: (505) 369-5930 | Dental Designs, Pc 1521 W 18th St Portales NM 88130-7018 Ph: (505) 369-5930 |
| NPI Number | 1043596406 |
|---|---|
| Provider Enumeration Date | 10/31/2011 |
| Last Update Date | 10/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043596406 | NPI | - | NPPES |
| 33427062 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DD3331 (New Mexico) | Primary |
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