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Main Street Dentistry
Dental Clinic/Center in Los Lunas, New Mexico
NPI 1710052543

Main Street Dentistry is a Dental Clinic/Center based in Los Lunas, NM and is specialized in Dental. Main Street Dentistry practices in Los Lunas, NM. The NPI Number for Main Street Dentistry is 1710052543 and holds a License No. (New Mexico).

The current practice location address for Main Street Dentistry is 705 Main St Sw, Los Lunas, NM and can be reached out via phone at 505-865-3395 and via fax at 505-865-1414.

Location: 705 Main St Sw, Los Lunas, NM, 87031-8308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710052543
Provider Name
Main Street Dentistry
Credential
Provider Entity Type
Organization
Address
705 Main St Sw, Los Lunas, NM, 87031-8308
Phone Number
505-865-3395
Fax Number
505-865-1414
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
705 Main St Sw
City
Los Lunas
State
New Mexico
Zip
87031-8308
Phone Number
505-865-3395
Fax Number
505-865-1414
person
Provider Business Mailing Address Details
Address
705 Main St Sw
City
Los Lunas
State
New Mexico
Zip
87031-8308
Phone Number
505-865-3395
Fax Number
505-865-1414
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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