Divine Dental Centre

LBN: Esmael Valdez, D.D.S., P.C
Divine Dental Centre is an health care organization with primary practice located at 925 Mills Ave , Las Vegas NM 87701-4047. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Esmael Valdez, D.D.S., P.C can be contacted via phone (505) 454-8483, or through Valdez, Esmael Robert via phone (505) 454-8483.

Contact Information

Primary practice address
925 Mills Ave Las Vegas NM 87701-4047
Phone: (505) 454-8483
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Valdez, Esmael Robert Doctor of Dental Surgery (DDS)
Phone: (505) 454-8483

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DD2351 New Mexico

Profile Details

NPI number 1164547204
LBN Legal business name Esmael Valdez, D.D.S., P.C
DBA Doing business as Divine Dental Centre
Authorized official Valdez, Esmael Robert Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164547204 NPPES
New Mexico MEDICAID 44456310

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