Rio Grande Dental Associates
NPI #1578684205 in Taos, New Mexico
Provider Information
- NPI Number
- 1578684205
- Entity Type
- Organization
- Organization Name
- Rio Grande Dental Associates
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 107 PLAZA GARCIA
- Address 2
- #E-10
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571-6256
- Phone
- (505) 758-0531
Authorized Official
- Name
- DR. MICHAEL H RIVERA, D.D.S.
- Title
- GENERAL MANAGER & PARTNER
- Phone
- (505) 758-0531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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