| Sundance Dental Care Of Bloomfield, Llc. | |
|
100 South First Street Bloomfield NM 87413 | |
| (505) 632-3344 | |
| Not Available |
| Full Name | Sundance Dental Care Of Bloomfield, Llc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 South First Street, Bloomfield, New Mexico |
| Authorized Official Name and Position | Michael Tornow (DENTIST/OWNER) |
| Authorized Official Contact | 5053266800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundance Dental Care Of Bloomfield, Llc. 6588 E Main St Farmington NM 87402-5122 Ph: (505) 326-6800 | Sundance Dental Care Of Bloomfield, Llc. 100 South First Street Bloomfield NM 87413 Ph: (505) 632-3344 |
| NPI Number | 1023344181 |
|---|---|
| Provider Enumeration Date | 10/26/2009 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023344181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DD2287 (New Mexico) | Primary |
Dzilth-na-o-dith-hle Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Road 7586, Bloomfield, NM 87413 Phone: 505-368-6401 Fax: 505-368-6431 | |
100 South Bloomfield Professional, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S 1st St, Bloomfield, NM 87413 Phone: 505-632-3344 |