Organization
RIO RANCHO SMILES
Active
Other names
Rio Rancho Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARAREH SHOKOOHI DDS (DENTIST)
(505) 977-3299
Entity
Organization
Contact information
Practice address
1316 JACKIE RD SE STE 200, RIO RANCHO, NM 87124-1045
(505) 994-9693
Mailing address
1316 JACKIE RD SE STE 200, RIO RANCHO, NM 87124-1045
(505) 994-9693
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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