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

EMBUDO DENTAL CENTER LLC

Active Organization

EMBUDO DENTAL CENTER LLC is a Dental Clinic organization located in EMBUDO, New Mexico. NPI 1679017453 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · EMBUDO, NM

Registration Details

NPI Number
1679017453
Provider Type
Organization
NPI Issued
Dec 13, 2016 (9.6583133523325 yrs)
Last Updated
Dec 13, 2016
Licenses
DD1074 (NM)
DD1953 (NM)

Practice Information

Address
1102 STATE HIGHWAY 68
EMBUDO, NM, 875310037
Browse NM providers · Browse ZIP 87531
Phone
5055794680
Fax
5055794074
Primary Specialty
Dental Clinic
261QD0000X
Additional Specialty
Dental Clinic
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.