Westside Endodontics | |
2320 Grande Blvd Se Suite A Rio Rancho NM 87124-1653 | |
(505) 891-2100 | |
Not Available |
Full Name | Westside Endodontics |
---|---|
Speciality | Dentist - Endodontics |
Location | 2320 Grande Blvd Se, Rio Rancho, New Mexico |
Authorized Official Name and Position | John Harmon (OWNER) |
Authorized Official Contact | 5058912100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Westside Endodontics 2320 Grande Blvd Se Suite A Rio Rancho NM 87124-1653 Ph: (505) 891-2100 | Westside Endodontics 2320 Grande Blvd Se Suite A Rio Rancho NM 87124-1653 Ph: (505) 891-2100 |
NPI Number | 1013151307 |
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Provider Enumeration Date | 04/30/2009 |
Last Update Date | 04/30/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013151307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | DD2741 (New Mexico) | Primary |
News Archive
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