OUTREACH DENTAL, LLC
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1982033700- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1700 HELENA DR, GALLUP, NM, 873015610
- Phone
- (505) 863-7887
- Fax
- (505) 863-7887
Specialties & Taxonomies
Dentist
Primary License: NM #DD1995