| Evan Mitchell DDS LLC | |
|
2600 The American Rd Se Ste 369 Rio Rancho NM 87124-1858 | |
| (505) 898-6000 | |
| Not Available |
| Full Name | Evan Mitchell DDS LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2600 The American Rd Se Ste 369, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Evan Mitchell (OWNER DENTIST) |
| Authorized Official Contact | 5059776021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Mitchell DDS LLC 12907 Blackstone Rd Ne Albuquerque NM 87111-3003 Ph: (505) 977-6021 | Evan Mitchell DDS LLC 2600 The American Rd Se Ste 369 Rio Rancho NM 87124-1858 Ph: (505) 898-6000 |
| NPI Number | 1295514867 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295514867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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