| Raton Family Dental Llc | |
|
1100 S 2nd St Ste C Raton NM 87740-2326 | |
| (801) 717-8637 | |
| Not Available |
| Full Name | Raton Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1100 S 2nd St Ste C, Raton, New Mexico |
| Authorized Official Name and Position | Stephen Paul Dixon (OWNER) |
| Authorized Official Contact | 8017178637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raton Family Dental Llc 132 N Commercial St Unit 2 Trinidad CO 81082-2655 Ph: (801) 717-8637 | Raton Family Dental Llc 1100 S 2nd St Ste C Raton NM 87740-2326 Ph: (801) 717-8637 |
| NPI Number | 1194358762 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194358762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |