Rio Rancho Dental Center

NPI #1023344579 in Rio Rancho, New Mexico

Provider Information

NPI Number: 1023344579
Entity Type: Organization
Organization Name: Rio Rancho Dental Center
Primary Specialty: Dentist
Enumeration Date: Oct 19, 2009
Last Updated: Feb 17, 2014

Practice Location

Address: 1316 JACKIE RD SE STE 300
City: Rio Rancho
State: New Mexico
ZIP Code: 87124-1045
Phone: (505) 994-9693

Authorized Official

Name: MRS. MARY A WHITLOW
Title: OFFICE MANAGER
Phone: (505) 994-9693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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