OrganizationActive
Animas Pediatric Dental Group
NPI 1295823177 · Pediatric Dentistry · Farmington, NM
Provider details
- NPI number
- 1295823177
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lawrence Suazo, Owner(505) 599-9359
- License
- DD1997 (NM)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
2650 E Pinon Frontage Rd. Bldg. 200
Farmington, NM 87402-5061
Phone: (505) 599-9359
Fax: (505) 599-8177
Approximate (ZIP-level) locationGet directions
Mailing address
2650 E Pinon Frontage Rd. Bldg. 200
Farmington, NM 87402-5061
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2014-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.