Organization
MOUNTAIN VIEW PEDIATRIC DENTISTRY LLC
Active
Other names
Mountain View Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ARCHULETA (OPERATIONS MANAGER)
(505) 377-9909
Entity
Organization
Contact information
Practice address
1904 WELLSPRING AVE SE STE 105, RIO RANCHO, NM 87124-4888
(505) 415-0462
Mailing address
1574 LAKELAND GRV APT 103, MONUMENT, CO 80132-6264
(505) 377-9909
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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