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100 South Bloomfield Professional, Llc
General Practice Dentistry in Bloomfield, New Mexico
NPI 1912519067

100 South Bloomfield Professional, Llc is a General Practice Dentistry based in Bloomfield, NM and is specialized in General Practice. 100 South Bloomfield Professional, Llc practices in Bloomfield, NM. The NPI Number for 100 South Bloomfield Professional, Llc is 1912519067 and holds a License No. (New Mexico).

The current practice location address for 100 South Bloomfield Professional, Llc is 100 S 1St St, Bloomfield, NM and can be reached out via phone at 505-632-3344. You can also correspond with 100 South Bloomfield Professional, Llc through the mailing address at 100 S 1ST ST, BLOOMFIELD, NM - 87413-6242 (mailing address contact number: 505-632-3344).

Location: 100 S 1St St, Bloomfield, NM, 87413-6242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912519067
Provider Name
100 South Bloomfield Professional, Llc
Credential
Provider Entity Type
Organization
Address
100 S 1St St, Bloomfield, NM, 87413-6242
Phone Number
505-632-3344
Fax Number
Provider Enumeration Date
08/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 S 1St St
City
Bloomfield
State
New Mexico
Zip
87413-6242
Phone Number
505-632-3344
Fax Number
person
Provider Business Mailing Address Details
Address
100 S 1St St
City
Bloomfield
State
New Mexico
Zip
87413-6242
Phone Number
505-632-3344
Fax Number
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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