Enchanted Hills Dentistry, Professional Corporation
NPI #1396138038 in Bernalillo, New Mexico
Provider Information
- NPI Number
- 1396138038
- Entity Type
- Organization
- Organization Name
- Enchanted Hills Dentistry, Professional Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 5, 2015
- Last Updated
- Mar 31, 2015
Practice Location
- Address
- 470 NEW MEXICO 528
- Address 2
- A
- City
- Bernalillo
- State
- New Mexico
- ZIP Code
- 87004
- Phone
- (505) 867-8444
Authorized Official
- Name
- MARIO HERREJON-RUIZ, DMD
- Title
- OWNER DOCTOR
- Phone
- (505) 867-8444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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