# MOUNTAIN VIEW DENTAL RUIDOSO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497254825
- **Authorized official:** MRS. SHANA L. MUNOZ (OFFICE MANAGER)
- **Authorized official phone:** (575) 257-9053

## Contact information

- **Practice address:** 127 EL PASO RD, RUIDOSO, NM 88345-6942
- **Practice address phone:** (575) 257-9053
- **Practice address fax:** (575) 258-1194
- **Mailing address:** 127 EL PASO RD, RUIDOSO, NM 88345-6942
- **Mailing address phone:** (575) 257-9053
- **Mailing address fax:** (575) 258-1194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD3694 | NM | Yes |

## Other

- **Enumeration date:** 02/12/2018
- **Last updated:** 11/30/2018