Individual provider · Type 1 NPI
Cielo Constanza Doherty, DDS
Pediatric Dentistry · Shiprock, NM
NPI number
1164410882
Active
Practice location
US Hwy 491 North
Shiprock, NM 87420
Fax (505) 368-6431
Mailing address
PO Box 160
Shiprock, NM 87420-0160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 6891 (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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Other pediatric dentistry providers in Shiprock
About NPI 1164410882
Cielo Constanza Doherty, DDS's National Provider Identifier is 1164410882, issued on Oct 6, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Shiprock, NM. The record was last updated on Sep 18, 2007.