Organization
RIO DENTAL AND ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (VP OF FINANCE)
(972) 869-3789
Entity
Organization
Contact information
Practice address
3634 RIO RANCHO BLVD STE 102, RIO RANCHO, NM 87144-7653
(505) 404-3282
(505) 867-7875
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
05/18/2022
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