| New Mexico Dental Clinics Llc | |
|
1594 Sara Rd Se Ste C Rio Rancho NM 87124 | |
| (866) 851-6236 | |
| Not Available |
| Full Name | New Mexico Dental Clinics Llc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 1594 Sara Rd Se Ste C, Rio Rancho, New Mexico |
| Authorized Official Name and Position | George Hanna (OWNER) |
| Authorized Official Contact | 5052733220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Dental Clinics Llc 1594 Sara Rd Se Ste C Rio Rancho NM 87124-1860 Ph: (866) 851-6236 | New Mexico Dental Clinics Llc 1594 Sara Rd Se Ste C Rio Rancho NM 87124 Ph: (866) 851-6236 |
| NPI Number | 1013404581 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 08/22/2022 |
| Medicare PECOS PAC ID | 5395129894 |
|---|---|
| Medicare Enrollment ID | O20220901001518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013404581 | NPI | - | NPPES |
| DD4651 | Other | NM | DENTAL LICENSE |
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