| Small Fry Dentistry Pc | |
|
1401 Linda Dr Gallup NM 87301-5615 | |
| (505) 870-6128 | |
| Not Available |
| Full Name | Small Fry Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 1401 Linda Dr, Gallup, New Mexico |
| Authorized Official Name and Position | Eduardo Valda (OWNER) |
| Authorized Official Contact | 5058706128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Small Fry Dentistry Pc 1401 Linda Dr Gallup NM 87301-5615 Ph: () - | Small Fry Dentistry Pc 1401 Linda Dr Gallup NM 87301-5615 Ph: (505) 870-6128 |
| NPI Number | 1639361371 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 08/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639361371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DD2150 (New Mexico) | Primary |
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