Organization · Type 2 NPI
Pueblo de Cochiti
Dental Clinic/Center · Cochiti Pueblo, NM
NPI number
1184855504
Active
Practice location
255 Cochiti St
Cochiti Pueblo, NM 87072-9998
Fax (505) 465-1135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1184855504
Pueblo de Cochiti's National Provider Identifier is 1184855504, issued on Aug 3, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Cochiti Pueblo, NM. The record was last updated on Jul 17, 2012.