Santa Fe Modern Dentistry and Orthodontics, LLC
NPI #1689950008 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1689950008
- Entity Type
- Organization
- Organization Name
- Santa Fe Modern Dentistry and Orthodontics, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 31, 2011
- Last Updated
- Dec 31, 2013
Practice Location
- Address
- 3569 ZAFARANO BOULEVARD
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87507
- Phone
- (505) 986-8000
Authorized Official
- Name
- DR. KELLEY HOLLINGSWORTH RYALS, DDS
- Title
- OWNER DOCTOR
- Phone
- (505) 986-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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