Santo Domingo Health Center | |
85 W Highway 22 Santo Domingo NM 87052-0340 | |
(505) 465-3060 | |
(505) 465-1191 |
Full Name | Santo Domingo Health Center |
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Speciality | Clinic/center - Dental |
Location | 85 W Highway 22, Santo Domingo, New Mexico |
Authorized Official Name and Position | Vanessa Diana Vigil (BUSINESS OFFICE MANAGER) |
Authorized Official Contact | 5054653060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Santo Domingo Health Center Po Box 559 Santo Domingo Pueblo NM 87052-0559 Ph: (505) 465-3060 | Santo Domingo Health Center 85 W Highway 22 Santo Domingo NM 87052-0340 Ph: (505) 465-3060 |
NPI Number | 1003193251 |
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Provider Enumeration Date | 11/15/2011 |
Last Update Date | 11/15/2011 |
Identifier | Type | State | Issuer |
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1003193251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |