Organization
MOUNTAIN VIEW FAMILY DENTISTRY & ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA SEXTON (GENERAL MANAGER)
(810) 941-8983
Entity
Organization
Contact information
Practice address
4405 JAGER DR NE STE C1, RIO RANCHO, NM 87144-5715
(575) 201-6138
Mailing address
4146 NEUMAN RD, SAINT CLAIR, MI 48079-3234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
12/22/2020
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