1601 2Nd Street Gallup Professional, Llc

LBN: 1601 2Nd Street Gallup Professional, Llc
1601 2Nd Street Gallup Professional, Llc is an health care organization with primary practice located at 1601 S Second St , Gallup NM 87301-5816. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 1601 2Nd Street Gallup Professional, Llc can be contacted via phone (505) 722-4422, or through Grmbos, Peter via phone (505) 722-4422.

Contact Information

Primary practice address
1601 S Second St Gallup NM 87301-5816
Phone: (505) 722-4422
Fax: (505) 722-2060
Website:
Map and Directions
Authorized official contact:
Name: Grmbos, Peter Doctor of Dental Surgery (DDS)
Phone: (505) 722-4422

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1386309870
LBN Legal business name 1601 2Nd Street Gallup Professional, Llc
DBA Doing business as
Authorized official Grmbos, Peter Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2021
Last updated Nov 1st, 2021 - about 3 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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