EMBUDO DENTAL CENTER LLC is a dental clinic center in Embudo, NM. EMBUDO DENTAL CENTER LLC NPI is 1679017453. The provider is registered as an organization entity type.
The provider's business location address is:
1102 STATE HIGHWAY 68 EMBUDO, NM ZIP 87531-037 Phone: (505) 579-4680 Fax: (505) 579-4074
The provider's authorized official is Kellie A Harris . The authorized official title is Owner/dentist and has the following contact phone number (505) 579-4680.
The enumeration date for this NPI number is 12/13/2016 and was last updated on 12/13/2016.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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