Tasker Hatch Rowan LLC

NPI #1134425895 in Albuquerque, New Mexico

Provider Information

NPI Number
1134425895
Entity Type
Organization
Organization Name
Tasker Hatch Rowan LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SMILES FOR NM KIDS
Primary Specialty
Dentist
Enumeration Date
Jan 28, 2011
Last Updated
Jun 16, 2022

Practice Location

Address
9201 EAGLE RANCH RD NW FL 3
ZIP Code
87114-6440
Phone
(505) 892-9010

Authorized Official

Name
EBONIE GONZALES, CREDS MGR
Title
CREDENTIALING MANAGER
Phone
(505) 850-3769

Specialties & Taxonomy Codes

Specialty
Dentist

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