| Ncdi - Animas Professional, Llp | |
|
2650 E Pinon Frontage Rd Bldg #200 Farmington NM 87402-5084 | |
| (505) 599-9359 | |
| Not Available |
| Full Name | Ncdi - Animas Professional, Llp |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2650 E Pinon Frontage Rd, Farmington, New Mexico |
| Authorized Official Name and Position | Mark D Crane (MANAGING PARTNER) |
| Authorized Official Contact | 9702238687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ncdi - Animas Professional, Llp 1220 Oak Park Dr Fort Collins CO 80525-7348 Ph: (970) 223-8687 | Ncdi - Animas Professional, Llp 2650 E Pinon Frontage Rd Bldg #200 Farmington NM 87402-5084 Ph: (505) 599-9359 |
| NPI Number | 1104277482 |
|---|---|
| Provider Enumeration Date | 06/28/2016 |
| Last Update Date | 06/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104277482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8446 (Colorado) | Primary |
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