ORTHODENTAL PC
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1750622072- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1748 W MALONEY AVE, GALLUP, NM, 873013333
- Phone
- (505) 863-8100
- Fax
- (505) 863-8064
Specialties & Taxonomies
Dentist, Orthodontics and Dentofacial Orthopedics
License: NM #DD3399
Dentist
Primary License: NM #DD3399