Organization · Type 2 NPI
Professional Dental Care of Southern Colorado I PLLC
Dental Clinic/Center · Portales, NM
NPI number
1033701313
Active
Practice location
123 W 2nd St
Portales, NM 88130-6201
Mailing address
10233 S Parker Rd Ste 107
Parker, CO 80134-9314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1033701313
Professional Dental Care of Southern Colorado I PLLC's National Provider Identifier is 1033701313, issued on Feb 8, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portales, NM. The record was last updated on Feb 8, 2021.