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
- City
- Rio Rancho
- State
- New Mexico
- 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 Practice — General Practice |
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