Organization
RIO GRANDE ORTHODONTICS LLC
Active
Organization
RIO GRANDE ORTHODONTICS LLC
Active
Other names
Rio Grande Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DEVAN VEST (OWNER)
(505) 662-4555
Entity
Organization
Contact information
Practice address
3250 TRINITY DR STE A, LOS ALAMOS, NM 87544-2226
(505) 662-4555
Mailing address
3250 TRINITY DR STE A, LOS ALAMOS, NM 87544-2226
(505) 662-4555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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