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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

1601 2ND STREET GALLUP PROFESSIONAL, LLC

Active Organization

1601 2ND STREET GALLUP PROFESSIONAL, LLC is a General Dentistry organization located in GALLUP, New Mexico. NPI 1386309870 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · GALLUP, NM

Registration Details

NPI Number
1386309870
Provider Type
Organization
NPI Issued
Nov 1, 2021 (4.7495462934457 yrs)
Last Updated
Nov 1, 2021

Practice Information

Address
1601 S SECOND ST
GALLUP, NM, 873015816
Browse NM providers · Browse ZIP 87301
Phone
5057224422
Fax
5057222060
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in GALLUP, NM

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.