Stf Dental | |
5805 Mcnutt Rd Santa Teresa NM 88008-8001 | |
(213) 200-5023 | |
Not Available |
Full Name | Stf Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 5805 Mcnutt Rd, Santa Teresa, New Mexico |
Authorized Official Name and Position | Soo Jun (OWNER) |
Authorized Official Contact | 2132005023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stf Dental 11368 Acoma St El Paso TX 79934-2872 Ph: () - | Stf Dental 5805 Mcnutt Rd Santa Teresa NM 88008-8001 Ph: (213) 200-5023 |
NPI Number | 1619625704 |
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Provider Enumeration Date | 03/17/2022 |
Last Update Date | 03/17/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619625704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Premier Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5690 Santa Teresita Dr Ste A3, Santa Teresa, NM 88008 Phone: 575-332-4535 | |
Santa Teresa Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Livingston Loop Unit B, Santa Teresa, NM 88008 Phone: 575-332-4047 Fax: 575-332-4201 |