institution
Dhhs Phs Ihs Acl Laguna Dental Clinic
Dental Clinic/Center in New Laguna, New Mexico
NPI 1558436261

Dhhs Phs Ihs Acl Laguna Dental Clinic is a Dental Clinic/Center based in San Fidel, NM and is specialized in Dental. Dhhs Phs Ihs Acl Laguna Dental Clinic practices in New Laguna, NM. The NPI Number for Dhhs Phs Ihs Acl Laguna Dental Clinic is 1558436261 and holds a License No. (New Mexico).

The current practice location address for Dhhs Phs Ihs Acl Laguna Dental Clinic is State Rd #124 Exit 108 Off I-40 3 Mi North, New Laguna, NM and can be reached out via phone at 505-552-6645.

Location: State Rd #124 Exit 108 Off I-40 3 Mi North, New Laguna, NM, 87049
institution
Provider Profile Details
NPI Number
1558436261
Provider Name
Dhhs Phs Ihs Acl Laguna Dental Clinic
Credential
Provider Entity Type
Organization
Address
State Rd #124 Exit 108 Off I-40 3 Mi North, New Laguna, NM, 87049
Phone Number
505-552-6645
Fax Number
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H3451 05 NM
institution
Provider Business Practice Location Address Details
Address
State Rd #124 Exit 108 Off I-40 3 Mi North
City
State
Zip
87038
Phone Number
505-552-6645
Fax Number
person
Provider Business Mailing Address Details
Address
State Rd #124 Exit 108 Off I-40 3 Mi North
City
State
Zip
87038
Phone Number
505-552-6645
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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