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Contact Information

CHILDREN'S DENTAL AT SONOMA
3340 RINCONADA BLVD
SUITE 2B
LAS CRUCES, NM88011
 Phone: 575-382-2105
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CHILDREN'S DENTAL AT SONOMA

NPI # 1972936235
LBN Legal business name CHILDREN'S DENTAL AT SONOMA
Authorized official CORY THOMPSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2013
Last updated 09/11/2014 - About 12 years ago
Identifiers
NM License # DD3462
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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