| Pacheco Family Dentistry Llc | |
|
501 S 2nd St Tucumcari NM 88401-2861 | |
| (623) 383-3839 | |
| Not Available |
| Full Name | Pacheco Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 501 S 2nd St, Tucumcari, New Mexico |
| Authorized Official Name and Position | Victor Matthew Pacheco (CEO) |
| Authorized Official Contact | 6233833839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacheco Family Dentistry Llc 501 S 2nd St Tucumcari NM 88401-2861 Ph: (623) 383-3839 | Pacheco Family Dentistry Llc 501 S 2nd St Tucumcari NM 88401-2861 Ph: (623) 383-3839 |
| NPI Number | 1689290983 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 06/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689290983 | NPI | - | NPPES |
| 53034091 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Chinea Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 S 1st St, Tucumcari, NM 88401 Phone: 575-268-1679 Fax: 505-990-7514 |