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General NPI Number Information
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NPI Number | 1992352223
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Entity Type | Organization
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Legal Business Name | SKY VIEW DENTAL
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 610 CUBA AVE
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5922
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Country | US
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Telephone | 575-434-3026
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Fax |
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Provider Business Mailing Address
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Address Line | 610 CUBA AVE
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City | ALAMOGORDO
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State | NM
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Zip | 88310-5922
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER/ OWNER
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Name | TOMEKA JONES
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Credential |
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Telephone | 575-437-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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