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Professional Dental Care Of Southern Colorado I Pllc
Dental Clinic/Center in Portales, New Mexico
NPI 1033701313

Professional Dental Care Of Southern Colorado I Pllc is a Dental Clinic/Center based in Parker, NM and is specialized in Dental. Professional Dental Care Of Southern Colorado I Pllc practices in Portales, NM. The NPI Number for Professional Dental Care Of Southern Colorado I Pllc is 1033701313 and holds a License No. (New Mexico).

The current practice location address for Professional Dental Care Of Southern Colorado I Pllc is 123 W 2Nd St, Portales, NM and can be reached out via phone at 575-268-0007.

Location: 123 W 2Nd St, Portales, NM, 80134-9314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033701313
Provider Name
Professional Dental Care Of Southern Colorado I Pllc
Credential
Provider Entity Type
Organization
Address
123 W 2Nd St, Portales, NM, 80134-9314
Phone Number
575-268-0007
Fax Number
Provider Enumeration Date
02/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
123 W 2Nd St
City
Portales
State
New Mexico
Zip
88130-6201
Phone Number
575-268-0007
Fax Number
person
Provider Business Mailing Address Details
Address
123 W 2Nd St
City
Portales
State
New Mexico
Zip
88130-6201
Phone Number
575-268-0007
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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