# ANGEL FIRE FAMILY DENTISTRY PC

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

## Provider details

- **NPI number:** 1972770071
- **Authorized official:** MR. STRIDER ARAGORN MCCASH DDS (OWNER)
- **Authorized official phone:** (575) 377-1383

## Contact information

- **Practice address:** 27479 HWY 64, ANGEL FIRE, NM 87710
- **Practice address phone:** (575) 377-1383
- **Practice address fax:** (575) 377-1383
- **Mailing address:** HCR 71 BOX 85, EAGLE NEST, NM 87718
- **Mailing address phone:** (575) 377-1383
- **Mailing address fax:** (575) 377-1383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 05/08/2008
