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Contact Information

DIVINE DENTAL OF SANTA FE
550 SAINT MICHAELS DR STE B
SANTA FE, NM87505-7610
 Phone: 505-471-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DIVINE DENTAL OF SANTA FE

NPI # 1992904288
LBN Legal business name DIVINE DENTAL OF SANTA FE
Authorized official ESMAEL VALDEZ - (CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2007
Last updated 07/16/2007 - About 19 years ago
Identifiers
NM License # DD2351
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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