Gallup Indian Medical Center
Gallup Indian Medical Center is a Dental Clinic/Center in Ft . Wingate, New Mexico. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
520 B Shush Drive Exit 33 State Road 400Ft . Wingate, NM 87316
Phone: (505) 722-1770
Fax: (505) 722-1796
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 9435 |
|---|
Record details
| NPI number | 1952505208 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bennie Yazzie — Acting Ceo · (505) 722-1000 |
| Other names | Fort Wingate Dental Clinic |
| NPI enumerated | June 12, 2007 |
| Last updated in NPPES | July 22, 2008 |
| Mailing address | 516 E. Nizhoni Blvd, Gallup, NM 87301-1337 |