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Organization
ANGEL FIRE FAMILY DENTISTRY PC
Active
Organization
ANGEL FIRE FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STRIDER ARAGORN MCCASH DDS (OWNER)
(575) 377-1383
Entity
Organization
Contact information
Practice address
27479 HWY 64, ANGEL FIRE, NM 87710
(575) 377-1383
(575) 377-1383
Mailing address
HCR 71 BOX 85, EAGLE NEST, NM 87718
(575) 377-1383
(575) 377-1383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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