Chamisa Hills Family Dental | |
1105 Golf Course Rd Se Rio Rancho NM 87124 | |
(505) 891-3190 | |
(505) 994-2053 |
Full Name | Chamisa Hills Family Dental |
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Speciality | Clinic/center - Dental |
Location | 1105 Golf Course Rd Se, Rio Rancho, New Mexico |
Authorized Official Name and Position | John J Candelaria (DENTIST OWNER) |
Authorized Official Contact | 5058913190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chamisa Hills Family Dental 1105 Golf Course Rd Se Rio Rancho NM 87124 Ph: (505) 891-3190 | Chamisa Hills Family Dental 1105 Golf Course Rd Se Rio Rancho NM 87124 Ph: (505) 891-3190 |
NPI Number | 1437514858 |
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Provider Enumeration Date | 12/30/2015 |
Last Update Date | 12/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437514858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 2298 (New Mexico) | Primary |
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