| Wisteria Dental Llc | |
|
1904 Wellspring Ave Se Rio Rancho NM 87124-4888 | |
| (505) 896-6654 | |
| Not Available |
| Full Name | Wisteria Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1904 Wellspring Ave Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Trang Le (OWNER DENTIST) |
| Authorized Official Contact | 5058966654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisteria Dental Llc 1904 Wellspring Ave Se Rio Rancho NM 87124-4888 Ph: (505) 896-6654 | Wisteria Dental Llc 1904 Wellspring Ave Se Rio Rancho NM 87124-4888 Ph: (505) 896-6654 |
| NPI Number | 1306650833 |
|---|---|
| Provider Enumeration Date | 02/05/2025 |
| Last Update Date | 02/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306650833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Westside Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2320 Grande Blvd Se, Suite A, Rio Rancho, NM 87124 Phone: 505-891-2100 | |
New Mexico Dental Clinics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 Phone: 866-851-6236 | |
Rio Rancho Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1316 Jackie Rd Se Ste 300, Rio Rancho, NM 87124 Phone: 505-994-9693 | |
Tasker Hatch Rowan Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 Cabezon Blvd Se Ste 104, Rio Rancho, NM 87124 Phone: 505-891-5145 | |
Mountain View Family Dentistry & Orthodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4405 Jager Dr Ne Ste C1, Rio Rancho, NM 87144 Phone: 575-201-6138 | |
Mountain View Family Dentists Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4405 Jager Dr Ne Ste C1, Rio Rancho, NM 87144 Phone: 505-867-1442 Fax: 505-867-1438 | |
Tri Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2345 Southern Blvd Se Ste B1, Rio Rancho, NM 87124 Phone: 505-892-0111 |