1601 2nd Street Gallup Professional, LLC
1601 2nd Street Gallup Professional, LLC provides General Practice Dentistry in Gallup, New Mexico. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1601 S Second StGallup, NM 87301-5816
Phone: (505) 722-4422
Fax: (505) 722-2060
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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 | 1386309870 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peter Grmbos — Owner/Dentist · (505) 722-4422 |
| Other names | Sundance Dental Care Of Gallup |
| NPI enumerated | November 1, 2021 |
| Last updated in NPPES | November 1, 2021 |
| Certification date | October 12, 2021 |
| Mailing address | 1601 S Second St, Gallup, NM 87301-5816 |
Other providers in Gallup
-
Dr. Michael Cadieux, DDS
322 McKee Dr, Gallup, NM 87301-4824 · (928) 871-1344
-
Dental Innovations of Gallup
214 W Aztec Ave, Gallup, NM 87301-6302 · (505) 863-4457
-
Dr. Nick A Desantis
1801 Redrock Dr, Gallup, NM 87301-5655 · (505) 863-4457
-
Travis Evans
1601 S Second St, Gallup, NM 87301-5816 · (505) 722-4422