Organization
770 BROADMOOR RIO RANCHO PROFESSIONAL LLC
Active
Other names
Sundance Dental Care of Rio Rancho
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GAMBOA (OFFICE MANAGER)
(505) 891-0554
Entity
Organization
Contact information
Practice address
770 BROADMOOR BLVD NE, RIO RANCHO, NM 87124-3442
(505) 891-0554
(505) 891-0552
Mailing address
770 BROADMOOR BLVD NE, RIO RANCHO, NM 87124-3442
(505) 891-0554
(505) 891-0552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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