Organization
RIVERSIDE CENTER FOR FAMILY AND COSMETIC DENTITRY
Active
Other names
Riverside Dental and Beauty Spa
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA LEWIS-HEYWOOD DMD (OWNER/DENTIST)
(505) 922-6000
Entity
Organization
Contact information
Practice address
2600 AMERICAN RD SE STE 230, RIO RANCHO, NM 87124-1858
(505) 922-6000
(505) 922-6363
Mailing address
2600 AMERICAN RD SE STE 230, RIO RANCHO, NM 87124-1858
(505) 922-6000
(505) 922-6363
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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