Individual
STEVEN R FIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2240 GRANDE BLVD SE STE 101, RIO RANCHO, NM 87124-1655
(505) 994-1700
Mailing address
2240 GRANDE BLVD SE STE 101, RIO RANCHO, NM 87124-1655
(505) 994-1700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
45689
CA
1223G0001X
General Practice Dentistry
Primary
DD2954
NM
Other
Enumeration date
10/26/2010
Last updated
03/15/2012
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