PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO I PROFESSIONAL is a general practice dentist in Santa Fe, NM. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PROFESSIONAL DENTAL CARE OF NORTHERN NEW MEXICO I PROFESSIONAL NPI is 1457998106. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
550B SAINT MICHAELS DR STE 2
SANTA FE, NM
ZIP 87505-716
Phone: (505) 471-7000
The provider's authorized official is Fred Anthony Lacourt .
The authorized official title is Chief Dental Officer and has the following contact phone number (414) 303-7484.
The enumeration date for this NPI number is 12/2/2019 and was last updated on 12/2/2019.