| Hollywood Orthodontics | |
|
1213c Us Highway 491 Gallup NM 87301-4820 | |
| (505) 979-5600 | |
| Not Available |
| Full Name | Hollywood Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1213c Us Highway 491, Gallup, New Mexico |
| Authorized Official Name and Position | John Melvin Morris (OWNER) |
| Authorized Official Contact | 4804525134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollywood Orthodontics 1910 E Willow Tree Ct Gilbert AZ 85234-4932 Ph: (480) 452-5134 | Hollywood Orthodontics 1213c Us Highway 491 Gallup NM 87301-4820 Ph: (505) 979-5600 |
| NPI Number | 1679016414 |
|---|---|
| Provider Enumeration Date | 11/28/2016 |
| Last Update Date | 11/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679016414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DD3609 (New Mexico) | Primary |
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