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Dr. Cielo Constanza Doherty, DDS
Pediatric Dentist in Shiprock, New Mexico
NPI 1164410882

Cielo Constanza Doherty is a Pediatric Dentist based in Shiprock, NM and is specialized in Pediatric Dentistry. Cielo Constanza Doherty practices in Shiprock, NM and has the professional credentials of DDS. The NPI Number for Cielo Constanza Doherty is 1164410882 and holds a License No. 6891 (New Mexico).

The current practice location address for Cielo Constanza Doherty is Us Hwy 491 North, Shiprock, NM and can be reached out via phone at 505-368-6401 and via fax at 505-368-6431.

Location: Us Hwy 491 North, Shiprock, NM, 87420-0160
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Provider Profile Details
NPI Number
1164410882
Provider Name
Cielo Constanza Doherty
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
Us Hwy 491 North, Shiprock, NM, 87420-0160
Phone Number
505-368-6401
Fax Number
505-368-6431
Provider Enumeration Date
10/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
52686264 05 CO
B4089 05 NM
618423 05 AZ
institution
Provider Business Practice Location Address Details
Address
Us Hwy 491 North
City
State
Zip
87420
Phone Number
505-368-6401
Fax Number
505-368-6431
person
Provider Business Mailing Address Details
Address
Us Hwy 491 North
City
State
Zip
87420
Phone Number
505-368-6401
Fax Number
505-368-6431
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
6891 (Colorado)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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