| Rio Grande Dental Associates | |
|
107 Plaza Garcia #e-10 Taos NM 87571-6256 | |
| (505) 758-0531 | |
| Not Available |
| Full Name | Rio Grande Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 107 Plaza Garcia, Taos, New Mexico |
| Authorized Official Name and Position | Michael H Rivera (GENERAL MANAGER & PARTNER) |
| Authorized Official Contact | 5057580531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Grande Dental Associates 107 Plaza Garcia #e-10 Taos NM 87571-6256 Ph: () - | Rio Grande Dental Associates 107 Plaza Garcia #e-10 Taos NM 87571-6256 Ph: (505) 758-0531 |
| NPI Number | 1578684205 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578684205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1670 (New Mexico) | Primary |
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