Small Fry Dentistry Pc

LBN: Small Fry Dentistry Pc
Small Fry Dentistry Pc is an health care organization with primary practice located at 1401 Linda Dr , Gallup NM 87301-5615. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Small Fry Dentistry Pc can be contacted via phone (505) 870-6128, or through Valda, Eduardo via phone (505) 870-6128.

Contact Information

Primary practice address
1401 Linda Dr Gallup NM 87301-5615
Phone: (505) 870-6128
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Valda, Eduardo Doctor of Dental Surgery (DDS)
Phone: (505) 870-6128

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DD2150 New Mexico

Profile Details

NPI number 1639361371
LBN Legal business name Small Fry Dentistry Pc
DBA Doing business as
Authorized official Valda, Eduardo Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2007
Last updated Aug 16th, 2007 - about 19 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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