Organization
FELIX C. MADRID, D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELIX C. MADRID D.D.S. (PRESIDENT)
(505) 892-0111
Entity
Organization
Contact information
Practice address
2345 SOUTHERN BLVD SE, SUITE B-1, RIO RANCHO, NM 87124-3760
(505) 892-0111
(505) 994-1004
Mailing address
2345 SOUTHERN BLVD SE, SUITE B-1, RIO RANCHO, NM 87124-3760
(505) 892-0111
(505) 994-1004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD1864
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3272/109077
—
NM
Enumeration date
06/25/2009
Last updated
06/25/2009
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