| Simply Dental & Oral Surgery Pc | |
|
4760 N Butler Ave Ste B1 Farmington NM 87401-0816 | |
| (505) 325-8858 | |
| Not Available |
| Full Name | Simply Dental & Oral Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4760 N Butler Ave Ste B1, Farmington, New Mexico |
| Authorized Official Name and Position | Joseph A Wilson (OWNER) |
| Authorized Official Contact | 5053609592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Dental & Oral Surgery Pc 4760 N Butler Ave Ste B1 Farmington NM 87401-0816 Ph: () - | Simply Dental & Oral Surgery Pc 4760 N Butler Ave Ste B1 Farmington NM 87401-0816 Ph: (505) 325-8858 |
| NPI Number | 1578969754 |
|---|---|
| Provider Enumeration Date | 11/14/2014 |
| Last Update Date | 11/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578969754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DD3399 (New Mexico) | Primary |
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