| Mountain View Pediatric Dentistry Llc | |
|
1904 Wellspring Ave Se Ste 105 Rio Rancho NM 87124-4888 | |
| (505) 415-0462 | |
| Not Available |
| Full Name | Mountain View Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 1904 Wellspring Ave Se Ste 105, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Jennifer Archuleta (OPERATIONS MANAGER) |
| Authorized Official Contact | 5053779909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Pediatric Dentistry Llc 1574 Lakeland Grv Apt 103 Monument CO 80132-6264 Ph: (505) 377-9909 | Mountain View Pediatric Dentistry Llc 1904 Wellspring Ave Se Ste 105 Rio Rancho NM 87124-4888 Ph: (505) 415-0462 |
| NPI Number | 1851182612 |
|---|---|
| Provider Enumeration Date | 05/13/2025 |
| Last Update Date | 05/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851182612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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