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San Juan College
Dental Clinic/Center in Farmington, New Mexico
NPI 1679740013

San Juan College is a Dental Clinic/Center based in Farmington, NM and is specialized in Dental. San Juan College practices in Farmington, NM. The NPI Number for San Juan College is 1679740013 and holds a License No. DD-2461 (New Mexico).

The current practice location address for San Juan College is 4601 College Blvd, Farmington, NM and can be reached out via phone at 505-566-3126 and via fax at 505-566-3790.

Location: 4601 College Blvd, Farmington, NM, 87402-4609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679740013
Provider Name
San Juan College
Credential
Provider Entity Type
Organization
Address
4601 College Blvd, Farmington, NM, 87402-4609
Phone Number
505-566-3126
Fax Number
505-566-3790
Provider Enumeration Date
05/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
59457538 05 NM
institution
Provider Business Practice Location Address Details
Address
4601 College Blvd
City
Farmington
State
New Mexico
Zip
87402-4609
Phone Number
505-566-3126
Fax Number
505-566-3790
person
Provider Business Mailing Address Details
Address
4601 College Blvd
City
Farmington
State
New Mexico
Zip
87402-4609
Phone Number
505-566-3126
Fax Number
505-566-3790
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DD-2461 (New Mexico)
Definition
Definition to come...
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