| Angel Fire Family Dentistry Pc | |
|
27479 Hwy 64 Angel Fire NM 87710 | |
| (575) 377-1383 | |
| (575) 377-1383 |
| Full Name | Angel Fire Family Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 27479 Hwy 64, Angel Fire, New Mexico |
| Authorized Official Name and Position | Strider Aragorn Mccash (OWNER) |
| Authorized Official Contact | 5753771383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Fire Family Dentistry Pc Hcr 71 Box 85 Eagle Nest NM 87718 Ph: (575) 377-1383 | Angel Fire Family Dentistry Pc 27479 Hwy 64 Angel Fire NM 87710 Ph: (575) 377-1383 |
| NPI Number | 1972770071 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972770071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Angel Fire Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27479 Hwy 64, Angel Fire, NM 87710 Phone: 575-214-4369 |