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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.

NPI # 1023344181
LBN Legal business name SUNDANCE DENTAL CARE OF BLOOMFIELD, LLC.
Authorized official MICHAEL TORNOW - (DENTIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2009
Last updated 05/27/2014 - About 12 years ago
Identifiers
NM License # DD2287
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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