| Valencia Family Dental | |
|
3472 State Highway 47 Los Lunas NM 87031-8222 | |
| (505) 865-9788 | |
| (505) 565-0422 |
| Full Name | Valencia Family Dental |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3472 State Highway 47, Los Lunas, New Mexico |
| Authorized Official Name and Position | Eric M Smith (OWNER) |
| Authorized Official Contact | 5058659788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valencia Family Dental Po Box 1298 Los Lunas NM 87031-1298 Ph: (505) 865-9788 | Valencia Family Dental 3472 State Highway 47 Los Lunas NM 87031-8222 Ph: (505) 865-9788 |
| NPI Number | 1548669294 |
|---|---|
| Provider Enumeration Date | 08/19/2014 |
| Last Update Date | 08/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548669294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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