Organization
TASKER, HATCH, ROWAN, LLC
Active
Other names
Tasker, Hatch, Rowan, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EBONIE GONZALES (CREDENTIALING MANAGER)
(505) 850-3769
Entity
Organization
Contact information
Practice address
9201 EAGLE RANCH RD NW, ALBUQUERQUE, NM 87114-6440
(505) 892-9010
(505) 899-4804
Mailing address
9201 EAGLE RANCH RD NW, ALBUQUERQUE, NM 87114-6440
(505) 892-9010
(505) 899-4804
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
07/06/2020
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