| Red River Family Dentistry Llc | |
|
612 W Main Street Red River NM 87558 | |
| (575) 754-2300 | |
| Not Available |
| Full Name | Red River Family Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 612 W Main Street, Red River, New Mexico |
| Authorized Official Name and Position | Mary Pu (VP OF FINANCE) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red River Family Dentistry Llc 2403 Lacy Ln Carrollton TX 75006-6514 Ph: () - | Red River Family Dentistry Llc 612 W Main Street Red River NM 87558 Ph: (575) 754-2300 |
| NPI Number | 1588186340 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 07/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588186340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |