Organization
CHARTIER ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. JACOB CHARTIER D.D.S. (ORTHODONTIST)
(505) 891-1151
Entity
Organization
Contact information
Practice address
4320 RIDGECREST DR SE, SUITE E, RIO RANCHO, NM 87124-5971
(505) 891-1151
Mailing address
4320 RIDGECREST DR SE, SUITE E, RIO RANCHO, NM 87124-5971
(505) 891-1151
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD2985
NM
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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