100 South Bloomfield Professional, LLC
100 South Bloomfield Professional, LLC is a General Practice Dentistry in Bloomfield, New Mexico. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
100 S 1st StBloomfield, NM 87413-6242
Phone: (505) 632-3344
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1912519067 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peter Grumbos — Owner · (505) 632-3344 |
| Other names | Sundance Dental Care Of Bloomfield |
| NPI enumerated | August 20, 2020 |
| Last updated in NPPES | August 20, 2020 |
| Certification date | August 20, 2020 |
| Mailing address | 100 S 1st St, Bloomfield, NM 87413-6242 |
Other providers in Bloomfield
-
Dr. Bryan Wayne Harber, DDS
6 Road 7586, Bloomfield, NM 87413-4934 · (505) 632-1801
-
Sundance Dental Care of Bloomfield, LLC
100 S First St, Bloomfield, NM 87413 · (505) 632-3344