| Kids Dental Partners, Llc | |
|
751 Trinity Dr Ste 305 Los Alamos NM 87544-3356 | |
| (505) 661-9060 | |
| Not Available |
| Full Name | Kids Dental Partners, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 751 Trinity Dr Ste 305, Los Alamos, New Mexico |
| Authorized Official Name and Position | William Nichols (DIRECTOR) |
| Authorized Official Contact | 5056605081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Partners, Llc 751 Trinity Dr Ste 305 Los Alamos NM 87544-3356 Ph: (505) 661-9060 | Kids Dental Partners, Llc 751 Trinity Dr Ste 305 Los Alamos NM 87544-3356 Ph: (505) 661-9060 |
| NPI Number | 1568883338 |
|---|---|
| Provider Enumeration Date | 12/22/2013 |
| Last Update Date | 08/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568883338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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