Organization
MOUNTAIN VIEW DENTAL RUIDOSO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANA L. MUNOZ (OFFICE MANAGER)
(575) 257-9053
Entity
Organization
Contact information
Practice address
127 EL PASO RD, RUIDOSO, NM 88345-6942
(575) 257-9053
(575) 258-1194
Mailing address
127 EL PASO RD, RUIDOSO, NM 88345-6942
(575) 257-9053
(575) 258-1194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3694
NM
Other
Enumeration date
02/12/2018
Last updated
11/30/2018
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