Childrens Dental Clinic of Ruidoso PC
NPI #1376618967 in Ruidoso, New Mexico
Provider Information
- NPI Number
- 1376618967
- Entity Type
- Organization
- Organization Name
- Childrens Dental Clinic of Ruidoso PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 21, 2006
- Last Updated
- Sep 5, 2007
Practice Location
- Address
- 721 MECHEM SIERRA MALL #5
- City
- Ruidoso
- State
- New Mexico
- ZIP Code
- 88345-6911
- Phone
- (505) 257-0246
Authorized Official
- Name
- DR. MACK ALLEN MCGUINNESS, DDS
- Title
- PRESIDENT
- Phone
- (505) 257-0246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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