| Stf Dental | |
|
5805 Mcnutt Rd Santa Teresa NM 88008-8001 | |
| (213) 200-5023 | |
| Not Available |
| Full Name | Stf Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5805 Mcnutt Rd, Santa Teresa, New Mexico |
| Authorized Official Name and Position | Soo Jun (OWNER) |
| Authorized Official Contact | 2132005023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stf Dental 11368 Acoma St El Paso TX 79934-2872 Ph: () - | Stf Dental 5805 Mcnutt Rd Santa Teresa NM 88008-8001 Ph: (213) 200-5023 |
| NPI Number | 1619625704 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 03/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619625704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Premier Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5690 Santa Teresita Dr Ste A3, Santa Teresa, NM 88008 Phone: 575-332-4535 | |
Santa Teresa Cosmetic And Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Livingston Loop Unit B, Santa Teresa, NM 88008 Phone: 575-332-4047 Fax: 575-332-4201 |