Embudo Dental Center LLC
Embudo Dental Center LLC is a Dental Clinic/Center in Embudo, New Mexico. Licensed in New Mexico. Registered with an NPI since 2016.
- Licensed in
- NM
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1102 State Highway 68Embudo, NM 87531-0037
Phone: (505) 579-4680
Fax: (505) 579-4074
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
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence DD1953 (NM) |
|---|---|
| Dental Clinic/Center | Taxonomy 261QD0000X · Licence DD1074 (NM) |
Record details
| NPI number | 1679017453 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kellie Harris — Owner/Dentist · (505) 579-4680 |
| NPI enumerated | December 13, 2016 |
| Last updated in NPPES | December 13, 2016 |
| Mailing address | Po Box 37, 1102 State Highway 68, Embudo, NM 87531-0037 |