Organization
WESTSIDE ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HARMON DDS (OWNER)
(505) 891-2100
Entity
Organization
Contact information
Practice address
2320 GRANDE BLVD SE, SUITE A, RIO RANCHO, NM 87124-1653
(505) 891-2100
Mailing address
2320 GRANDE BLVD SE, SUITE A, RIO RANCHO, NM 87124-1653
(505) 891-2100
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DD2741
NM
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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