Organization
ANGEL FIRE FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STRIDER ARAGORN MCCASH DDS (OWNER)
(575) 377-1383
Entity
Organization
Contact information
Practice address
27479 HWY 64, ANGEL FIRE, NM 87710
(575) 377-1383
(575) 377-1383
Mailing address
HCR 71 BOX 85, EAGLE NEST, NM 87718
(575) 377-1383
(575) 377-1383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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