institution
Childrens Dental Clinic Of Ruidoso Pc
Dental Clinic/Center in Ruidoso, New Mexico
NPI 1376618967

Childrens Dental Clinic Of Ruidoso Pc is a Dental Clinic/Center based in Ruidoso, NM and is specialized in Dental. Childrens Dental Clinic Of Ruidoso Pc practices in Ruidoso, NM. The NPI Number for Childrens Dental Clinic Of Ruidoso Pc is 1376618967 and holds a License No. DD1984 (New Mexico).

The current practice location address for Childrens Dental Clinic Of Ruidoso Pc is 721 Mechem Sierra Mall #5, Ruidoso, NM and can be reached out via phone at 505-257-0246 and via fax at 505-257-0249. You can also correspond with Childrens Dental Clinic Of Ruidoso Pc through the mailing address at 721 MECHEM SIERRA MALL #5, RUIDOSO, NM - 88345-6911 (mailing address contact number: 505-257-0246).

Location: 721 Mechem Sierra Mall #5, Ruidoso, NM, 88345-6911
institution
Provider Profile Details
NPI Number
1376618967
Provider Name
Childrens Dental Clinic Of Ruidoso Pc
Credential
Provider Entity Type
Organization
Address
721 Mechem Sierra Mall #5, Ruidoso, NM, 88345-6911
Phone Number
505-257-0246
Fax Number
505-257-0249
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008C53 01 NM BC/BS OF NM
71823 05 NM
institution
Provider Business Practice Location Address Details
Address
721 Mechem Sierra Mall #5
City
State
Zip
88345-6911
Phone Number
505-257-0246
Fax Number
505-257-0249
person
Provider Business Mailing Address Details
Address
721 Mechem Sierra Mall #5
City
State
Zip
88345-6911
Phone Number
505-257-0246
Fax Number
505-257-0249
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
DD1984 (New Mexico)
Definition
Definition to come...
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