| Cosmetic & Natural Dentistry P.c. | |
|
1137 Commercial Dr Se Rio Rancho NM 87124-4658 | |
| (505) 896-9399 | |
| (505) 896-1686 |
| Full Name | Cosmetic & Natural Dentistry P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1137 Commercial Dr Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Anthony Herbert Edwards (PRESIDENT) |
| Authorized Official Contact | 5058969399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic & Natural Dentistry P.c. 1137 Commercial Dr Se Albuquerque NM 87124-4658 Ph: (505) 896-9399 | Cosmetic & Natural Dentistry P.c. 1137 Commercial Dr Se Rio Rancho NM 87124-4658 Ph: (505) 896-9399 |
| NPI Number | 1396979530 |
|---|---|
| Provider Enumeration Date | 05/01/2009 |
| Last Update Date | 05/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396979530 | NPI | - | NPPES |
| 33123888 | Medicaid | NM | |
| 59325771 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DD2548 (New Mexico) | Primary |
| 122300000X | Dentist | DD2550 (New Mexico) | Secondary |
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