Organization
EVAN MITCHELL DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN MITCHELL DDS (OWNER DENTIST)
(505) 977-6021
Entity
Organization
Contact information
Practice address
2600 THE AMERICAN RD SE STE 369, RIO RANCHO, NM 87124-1858
(505) 898-6000
Mailing address
12907 BLACKSTONE RD NE, ALBUQUERQUE, NM 87111-3003
(505) 977-6021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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