| A To Z Children's Dental Clinic, Llc | |
|
805 E High St Grants NM 87020-2448 | |
| (505) 876-1065 | |
| Not Available |
| Full Name | A To Z Children's Dental Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 805 E High St, Grants, New Mexico |
| Authorized Official Name and Position | Marcellus Gladney (PRESIDENT) |
| Authorized Official Contact | 5058761065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A To Z Children's Dental Clinic, Llc 805 E High St Po Box 638 Grants NM 87020-2448 Ph: (505) 876-1065 | A To Z Children's Dental Clinic, Llc 805 E High St Grants NM 87020-2448 Ph: (505) 876-1065 |
| NPI Number | 1275738668 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275738668 | NPI | - | NPPES |
| Z9089 | Medicaid | NM | |
| 8615 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DD1966 (New Mexico) | Primary |
Patricia B. Valdivia D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Bonita St, Grants, NM 87020 Phone: 505-876-4034 Fax: 505-876-4036 | |
A To Z Childrens Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Bonita Ave Suite A, Grants, NM 87020 Phone: 505-285-3443 Fax: 505-287-3418 | |
Sundance Dental Care Of Grants Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Lobo Canyon Rd, Grants, NM 87020 Phone: 505-722-4422 Fax: 505-722-2060 | |
920 Lobo Canyon Grants Professional, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Lobo Canyon Rd, Grants, NM 87020 Phone: 505-722-4422 | |
Southwest Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Lincoln Ave, Grants, NM 87020 Phone: 505-287-2000 | |
Derrick Baca Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Bonita St, Grants, NM 87020 Phone: 505-876-4034 Fax: 505-876-4036 |