Red River Family Dentistry LLC

NPI #1588186340 in Red River, New Mexico

Provider Information

NPI Number: 1588186340
Entity Type: Organization
Organization Name: Red River Family Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Jul 13, 2017
Last Updated: Jul 13, 2017

Practice Location

Address: 612 W MAIN STREET
City: Red River
State: New Mexico
ZIP Code: 87558
Phone: (575) 754-2300

Authorized Official

Name: MARY PU
Title: VP OF FINANCE
Phone: (972) 869-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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