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Organization
SOCORRO DENTAL CARE INC.
Active
Organization
SOCORRO DENTAL CARE INC.
Active
Other names
uSmile Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HANNA (OWNER)
(505) 273-3220
Entity
Organization
Contact information
Practice address
1594 SARA RD SE STE C, RIO RANCHO, NM 87124-1860
(877) 989-7413
(505) 226-9697
Mailing address
1594 SARA RD SE STE C, RIO RANCHO, NM 87124-1860
(505) 273-3220
(505) 226-9697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90288840
—
NM
01
—
DD4651
DENTAL LICENSE
NM
Enumeration date
09/09/2018
Last updated
03/31/2020
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