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1601 2nd Street Gallup Professional, Llc
General Practice Dentistry in Gallup, New Mexico
NPI 1386309870

1601 2nd Street Gallup Professional, Llc is a General Practice Dentistry based in Gallup, NM and is specialized in General Practice. 1601 2nd Street Gallup Professional, Llc practices in Gallup, NM. The NPI Number for 1601 2nd Street Gallup Professional, Llc is 1386309870 and holds a License No. (New Mexico).

The current practice location address for 1601 2nd Street Gallup Professional, Llc is 1601 S Second St, Gallup, NM and can be reached out via phone at 505-722-4422 and via fax at 505-722-2060.

Location: 1601 S Second St, Gallup, NM, 87301-5816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386309870
Provider Name
1601 2nd Street Gallup Professional, Llc
Credential
Provider Entity Type
Organization
Address
1601 S Second St, Gallup, NM, 87301-5816
Phone Number
505-722-4422
Fax Number
505-722-2060
Provider Enumeration Date
11/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 S Second St
City
Gallup
State
New Mexico
Zip
87301-5816
Phone Number
505-722-4422
Fax Number
505-722-2060
person
Provider Business Mailing Address Details
Address
1601 S Second St
City
Gallup
State
New Mexico
Zip
87301-5816
Phone Number
505-722-4422
Fax Number
505-722-2060
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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