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JUST FOR GRINS

Pediatric Dentistry

Santa Fe, New Mexico

Provider NPI: 1801074257

Organization Information:
Organization Name:  JUST FOR GRINS
Organization is not Subpart
Authorized Official:  ELIZABETH  PRISHKULNIK  OWNER  505-4287878

Practice Location:
1498 S SAINT FRANCIS DR  SANTA FE, NM 87505 US
Tel: 505-428-7878  Fax: --

Business Mailing Address:
490B W ZIA RD  SANTA FE, NM 87505 US
Tel: 505-428-7878  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0221XDental Providers
Dentist
Pediatric Dentistry
NMDD2707





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