Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2009-10-26
- Last updated
- 2014-05-27
Specialties
Licenses
- License NM
- DD2287
Location
- Practice location
- 100 SOUTH FIRST STREET
- City
- BLOOMFIELD NM
- Postal code
- 87413
- Phone
- 505-632-3344
Organization contact
- Name
- MICHAEL TORNOW
- Title
- Dentist/Owner
- Phone
- 5053266800
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.