| Vest Orthodontics Pc | |
|
3250 Trinity Dr Ste A Los Alamos NM 87544-2226 | |
| (505) 662-4555 | |
| (505) 662-4373 |
| Full Name | Vest Orthodontics Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3250 Trinity Dr Ste A, Los Alamos, New Mexico |
| Authorized Official Name and Position | Devan R Vest (PRESIDENT) |
| Authorized Official Contact | 5056624555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vest Orthodontics Pc 3250 Trinity Dr Ste A Los Alamos NM 87544-2226 Ph: (505) 662-4555 | Vest Orthodontics Pc 3250 Trinity Dr Ste A Los Alamos NM 87544-2226 Ph: (505) 662-4555 |
| NPI Number | 1659603264 |
|---|---|
| Provider Enumeration Date | 02/06/2010 |
| Last Update Date | 07/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659603264 | NPI | - | NPPES |
| 22050221 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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