Southwest Dental | |
1137 Commercial Dr Se Ste 103 Rio Rancho NM 87124-4658 | |
(505) 896-9399 | |
Not Available |
Full Name | Southwest Dental |
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Speciality | Clinic/center - Dental |
Location | 1137 Commercial Dr Se Ste 103, Rio Rancho, New Mexico |
Authorized Official Name and Position | Hamid Ranjbaran (PRESIDENT) |
Authorized Official Contact | 5059086110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southwest Dental 1137 Commercial Dr Se Ste 103 Rio Rancho NM 87124-4658 Ph: (505) 896-9399 | Southwest Dental 1137 Commercial Dr Se Ste 103 Rio Rancho NM 87124-4658 Ph: (505) 896-9399 |
NPI Number | 1851016125 |
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Provider Enumeration Date | 10/10/2022 |
Last Update Date | 11/29/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851016125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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