| Sundance Family Dental | |
|
6588 E Main St Farmington NM 87402-5122 | |
| (505) 326-6800 | |
| (505) 326-5809 |
| Full Name | Sundance Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6588 E Main St, Farmington, New Mexico |
| Authorized Official Name and Position | Michael Tornow (DENTIST/OWNER) |
| Authorized Official Contact | 5053266800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundance Family Dental 6588 E Main St Farmington NM 87402-5122 Ph: (505) 326-6800 | Sundance Family Dental 6588 E Main St Farmington NM 87402-5122 Ph: (505) 326-6800 |
| NPI Number | 1851567317 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851567317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DD2287 (New Mexico) | Primary |
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