Tri Dental, LLC

NPI #1124779210 in Rio Rancho, New Mexico

Provider Information

NPI Number
1124779210
Entity Type
Organization
Organization Name
Tri Dental, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
TRI DENTAL, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 11, 2022
Last Updated
Jan 11, 2022

Practice Location

Address
2345 SOUTHERN BLVD SE STE B1
ZIP Code
87124-3761
Phone
(505) 892-0111

Authorized Official

Name
BRENTON MASON, DMD
Title
MEMBER
Phone
(505) 301-4267

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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