| Summit Family Dental Of Bernalillo, Llc | |
|
7800 Carr Way Ne Ste 105 Rio Rancho NM 87144-0900 | |
| (505) 327-9161 | |
| Not Available |
| Full Name | Summit Family Dental Of Bernalillo, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7800 Carr Way Ne Ste 105, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Lisa Hodges (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 5057872965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Family Dental Of Bernalillo, Llc 800 E 30th St Bldg 3 Farmington NM 87401-9407 Ph: (505) 327-9161 | Summit Family Dental Of Bernalillo, Llc 7800 Carr Way Ne Ste 105 Rio Rancho NM 87144-0900 Ph: (505) 327-9161 |
| NPI Number | 1346833878 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 03/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346833878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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