Organization · Type 2 NPI
Childrens Dental Clinic of Ruidoso PC
Dental Clinic/Center · Ruidoso, NM
NPI number
1376618967
Active
Practice location
721 Mechem Sierra Mall #5
Ruidoso, NM 88345-6911
Fax (505) 257-0249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DD1984 (NM) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Ruidoso
About NPI 1376618967
Childrens Dental Clinic of Ruidoso PC's National Provider Identifier is 1376618967, issued on Nov 21, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ruidoso, NM. The record was last updated on Sep 5, 2007.