| Tasker Hatch Rowan Llc | |
|
2401 Cabezon Blvd Se Ste 104 Rio Rancho NM 87124-1513 | |
| (505) 891-5145 | |
| Not Available |
| Full Name | Tasker Hatch Rowan Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2401 Cabezon Blvd Se Ste 104, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Ebonie Gonzales (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5058503769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tasker Hatch Rowan Llc 325 S Higley Rd #130 Gilbert AZ 85296 Ph: (505) 850-3769 | Tasker Hatch Rowan Llc 2401 Cabezon Blvd Se Ste 104 Rio Rancho NM 87124-1513 Ph: (505) 891-5145 |
| NPI Number | 1053956466 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 05/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053956466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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