| Rio Rancho Dental Center | |
|
1316 Jackie Rd Se Ste 300 Rio Rancho NM 87124-1045 | |
| (505) 994-9693 | |
| Not Available |
| Full Name | Rio Rancho Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 1316 Jackie Rd Se Ste 300, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Mary A Whitlow (OFFICE MANAGER) |
| Authorized Official Contact | 5059949693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Rancho Dental Center 1316 Jackie Rd Se Ste 300 Rio Rancho NM 87124-1045 Ph: (505) 994-9693 | Rio Rancho Dental Center 1316 Jackie Rd Se Ste 300 Rio Rancho NM 87124-1045 Ph: (505) 994-9693 |
| NPI Number | 1023344579 |
|---|---|
| Provider Enumeration Date | 10/19/2009 |
| Last Update Date | 02/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023344579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DD1498 (New Mexico) | Primary |
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