Organization · Type 2 NPI

Kewa Pueblo Health Corporation

Dental Clinic/Center · Santo Domingo, NM

NPI number 1003193251 Active

Practice location

85 W Highway 22
Santo Domingo, NM 87052-0340

Call (505) 465-3060 Map

Fax (505) 465-1191

Mailing address

PO Box 559
Santo Domingo Pueblo, NM 87052-0559

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

15 other providers at this address

About NPI 1003193251

Kewa Pueblo Health Corporation's National Provider Identifier is 1003193251, issued on Nov 15, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Santo Domingo, NM. The record was last updated on Nov 15, 2011.