Organization
SOCORRO DENTAL CARE INC.
Active
Other names
uSmile Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HANNA (OWNER)
(505) 273-3220
Entity
Organization
Contact information
Practice address
1594 SARA RD SE STE C, RIO RANCHO, NM 87124-1860
(877) 989-7413
(505) 226-9697
Mailing address
1594 SARA RD SE STE C, RIO RANCHO, NM 87124-1860
(505) 273-3220
(505) 226-9697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90288840
—
NM
01
—
DD4651
DENTAL LICENSE
NM
Enumeration date
09/09/2018
Last updated
03/31/2020
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