Organization
ENCHANTED SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA MONTOYA RDH (OWNER)
(505) 550-8291
Entity
Organization
Contact information
Practice address
305 RIO COMMUNITIES BLVD, BELEN, NM 87002-6168
(505) 864-2978
Mailing address
305 RIO COMMUNITIES BLVD, BELEN, NM 87002-6168
(505) 864-2978
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH1276
NM
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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