Organization
RIO RANCHO MODERN DENTISTRY, LLC
Active
Other names
Rio Rancho Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CONNER D.D.S. (OWNER)
(505) 892-2900
Entity
Organization
Contact information
Practice address
950 UNSER BLVD SE, SUITE 110, RIO RANCHO, NM 87124-6375
(505) 892-2900
(505) 892-2913
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/20/2014
Last updated
05/11/2022
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