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Contact Information

SUNDANCE DENTAL CARE OF BLOOMFIELD, LLC.
100 SOUTH FIRST STREET
BLOOMFIELD, NM87413
 Phone: 505-632-3344
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SUNDANCE DENTAL CARE OF BLOOMFIELD LLC · (Female)

NPI # 1023344181
Status Active
Credentials
Entity Individual
Enumeration date 10/26/2009
Last updated 05/27/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # DD2287
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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