NPI 1275738668

A to Z Children's Dental Clinic, LLC

Organisation Dental Clinic/Center Grants, NM

Practice location

Address: 805 E High St, Grants, NM 87020-2448
Phone: (505) 876-1065
Mailing address: 805 E High St PO Box 638, Grants, NM 87020-2448

Authorised official

Name: Marcellus Gladney
Title: President
Phone: (505) 876-1065

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence DD1966 (NM)

Other Clinic/Center providers in New Mexico →

Registry record

NPI: 1275738668
Entity type: Organization
NPI issued: 18 Jun 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.