| Kenneth W Childress Dds Pc | |
|
721 Mechem Dr Sierra Mall #5 Ruidoso NM 88345-6911 | |
| (575) 257-0246 | |
| Not Available |
| Full Name | Kenneth W Childress Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 721 Mechem Dr, Ruidoso, New Mexico |
| Authorized Official Name and Position | Kenneth Childress (PRESIDENT) |
| Authorized Official Contact | 7196717369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth W Childress Dds Pc 721 Mechem Dr Sierra Mall #5 Ruidoso NM 88345-6911 Ph: () - | Kenneth W Childress Dds Pc 721 Mechem Dr Sierra Mall #5 Ruidoso NM 88345-6911 Ph: (575) 257-0246 |
| NPI Number | 1982913935 |
|---|---|
| Provider Enumeration Date | 09/24/2010 |
| Last Update Date | 03/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982913935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2704 (New Mexico) | Primary |
Childrens Dental Clinic Of Ruidoso Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 Mechem Sierra Mall #5, Ruidoso, NM 88345 Phone: 505-257-0246 Fax: 505-257-0249 | |
Lu Tran Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Sudderth Dr Ste C, Ruidoso, NM 88345 Phone: 575-315-2996 | |
Mountain View Dental Ruidoso Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 El Paso Rd, Ruidoso, NM 88345 Phone: 575-257-9053 Fax: 575-258-1194 | |
Mountain View Dental Ruidoso Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 El Paso Rd, Ruidoso, NM 88345 Phone: 575-257-9053 Fax: 575-258-1194 |