| Divine Dental Of Santa Fe | |
|
550 Saint Michaels Dr Ste B Santa Fe NM 87505-7610 | |
| (505) 471-7000 | |
| Not Available |
| Full Name | Divine Dental Of Santa Fe |
|---|---|
| Speciality | Dentist |
| Location | 550 Saint Michaels Dr Ste B, Santa Fe, New Mexico |
| Authorized Official Name and Position | Esmael R Valdez (CO-OWNER) |
| Authorized Official Contact | 5054548483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Dental Of Santa Fe 550 Saint Michaels Dr Ste B Santa Fe NM 87505-7610 Ph: (505) 471-7000 | Divine Dental Of Santa Fe 550 Saint Michaels Dr Ste B Santa Fe NM 87505-7610 Ph: (505) 471-7000 |
| NPI Number | 1992904288 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 07/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992904288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DD2351 (New Mexico) | Primary |
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