| Westside Endodontics | |
|
2320 Grande Blvd Se Suite A Rio Rancho NM 87124-1653 | |
| (505) 891-2100 | |
| Not Available |
| Full Name | Westside Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2320 Grande Blvd Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | John Harmon (OWNER) |
| Authorized Official Contact | 5058912100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Endodontics 2320 Grande Blvd Se Suite A Rio Rancho NM 87124-1653 Ph: (505) 891-2100 | Westside Endodontics 2320 Grande Blvd Se Suite A Rio Rancho NM 87124-1653 Ph: (505) 891-2100 |
| NPI Number | 1013151307 |
|---|---|
| Provider Enumeration Date | 04/30/2009 |
| Last Update Date | 04/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013151307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DD2741 (New Mexico) | Primary |
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