| Animas Pediatric Dentistry | |
|
2650 E Pinon Frontage Rd Bldg 200 Farmington NM 87402-5084 | |
| (505) 599-9359 | |
| Not Available |
| Full Name | Animas Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2650 E Pinon Frontage Rd Bldg 200, Farmington, New Mexico |
| Authorized Official Name and Position | Jens Wilson (PEDIATRIC DENTIST) |
| Authorized Official Contact | 4354594457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Animas Pediatric Dentistry 2650 E Pinon Frontage Rd Bldg 200 Farmington NM 87402-5084 Ph: (505) 599-9359 | Animas Pediatric Dentistry 2650 E Pinon Frontage Rd Bldg 200 Farmington NM 87402-5084 Ph: (505) 599-9359 |
| NPI Number | 1619666732 |
|---|---|
| Provider Enumeration Date | 05/04/2023 |
| Last Update Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619666732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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