Just Clean Smiles, LLC
NPI #1609176965 in Los Lunas, New Mexico
Provider Information
- NPI Number
- 1609176965
- Entity Type
- Organization
- Organization Name
- Just Clean Smiles, LLC
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- Nov 2, 2010
- Last Updated
- Mar 27, 2011
Practice Location
- Address
- 1204 MAIN ST NE
- Address 2
- SUITE B
- City
- Los Lunas
- State
- New Mexico
- ZIP Code
- 87031-7409
- Phone
- (505) 565-0609
Authorized Official
- Name
- DONNA M RIORDAN, RDH
- Title
- MANAGER/DENTAL HYGIENIST
- Phone
- (505) 565-0609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dental Hygienist |
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