| Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc. | |
|
317 W Country Club Rd Roswell NM 88201-5892 | |
| (505) 850-6700 | |
| Not Available |
| Full Name | Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 317 W Country Club Rd, Roswell, New Mexico |
| Authorized Official Name and Position | Saneal Narendra Mistry (OWNER) |
| Authorized Official Contact | 5058506700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc. 9 Charing Cross Ct Roswell NM 88201-0408 Ph: (505) 850-6700 | Country Club Dental, Inc. / Dba: Sunny Smile Dental, Inc. 317 W Country Club Rd Roswell NM 88201-5892 Ph: (505) 850-6700 |
| NPI Number | 1427897701 |
|---|---|
| Provider Enumeration Date | 05/24/2024 |
| Last Update Date | 05/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427897701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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