Organization
ORTIZ & MOSS DENTAL ASSOCIATES, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEREIDA ORTIZ D.D.S (CORP. PRESIDENT)
(505) 662-2426
Entity
Organization
Contact information
Practice address
2101 TRINITY DR STE P, LOS ALAMOS, NM 87544-4103
(505) 662-2426
Mailing address
2101 TRINITY DR STE P, LOS ALAMOS, NM 87544-4103
(505) 662-2426
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1700
NM
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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