Organization · Type 2 NPI
Gallup Indian Medical Center
Dental Clinic/Center · Fort Wingate, NM
NPI number
1952505208
Active
Practice location
520 B Shush Drive, Exit 33 State Road 400
Fort Wingate, NM 87316
Fax (505) 722-1796
Mailing address
516 E. Nizhoni Blvd
Gallup, NM 87301-1337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 9435 |
Dental Clinic/Center: Definition to come...
About NPI 1952505208
Gallup Indian Medical Center's National Provider Identifier is 1952505208, issued on Jun 12, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fort Wingate, NM. The record was last updated on Jul 22, 2008.