Organization
NEIGHBORHOOD SMILES OF PASEO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY RAUCH DDS (OWNER/DENTIST)
(505) 890-3000
Entity
Organization
Contact information
Practice address
6521 PARADISE BLVD NW STE M, ALBUQUERQUE, NM 87114-6199
(505) 890-3000
Mailing address
9501 PASEO DEL NORTE NE STE A, ALBUQUERQUE, NM 87122-2999
(505) 890-3000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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