Cabezon Pediatric Dentistry
NPI #1801286299 in Rio Rancho, New Mexico
Provider Information
- NPI Number
- 1801286299
- Entity Type
- Organization
- Organization Name
- Cabezon Pediatric Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 23, 2015
- Last Updated
- Jan 23, 2015
Practice Location
- Address
- 2421 CABEZON BLVD SE
- City
- Rio Rancho
- State
- New Mexico
- ZIP Code
- 87124-1515
- Phone
- (505) 884-5437
Authorized Official
- Name
- DR. SPENCER J TASKER, D.M.D
- Title
- OWNER
- Phone
- (505) 884-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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