Organization · Type 2 NPI

Ncdi - Animas Professional, LLP

Pediatric Dentistry · Farmington, NM

NPI number 1104277482 Active

Practice location

2650 E Pinon Frontage Rd, Bldg #200
Farmington, NM 87402-5084

Mailing address

1220 Oak Park Dr
Fort Collins, CO 80525-7348

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X8446 (CO)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1104277482

Ncdi - Animas Professional, LLP's National Provider Identifier is 1104277482, issued on Jun 28, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Farmington, NM. The record was last updated on Jun 28, 2016.