| Jal Dental Clinic | |
|
310 Continental St Suite 106 Jal NM 88252 | |
| (575) 395-2205 | |
| (575) 395-2209 |
| Full Name | Jal Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 310 Continental St Suite 106, Jal, New Mexico |
| Authorized Official Name and Position | Erin Deck (BUSINESS ADMINISTRATOR) |
| Authorized Official Contact | 5753953400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jal Dental Clinic Po Drawer Z 310 Continental St Suite 106 Jal NM 88252 Ph: (575) 395-2205 | Jal Dental Clinic 310 Continental St Suite 106 Jal NM 88252 Ph: (575) 395-2205 |
| NPI Number | 1982890737 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 12/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982890737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |