Sundance Dental Care of Rio Rancho, LLC

NPI #1164725503 in Rio Rancho, New Mexico

Provider Information

NPI Number: 1164725503
Entity Type: Organization
Organization Name: Sundance Dental Care of Rio Rancho, LLC
Primary Specialty: Dentist
Enumeration Date: Dec 7, 2010
Last Updated: Jun 17, 2014

Practice Location

Address: 770 BROADMOOR BLVD NE
City: Rio Rancho
State: New Mexico
ZIP Code: 87124
Phone: (505) 891-0554

Authorized Official

Name: MICHELLE BROWN
Title: MANAGER
Phone: (505) 326-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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