Organization · Type 2 NPI
Westside Pediatric Dentistry
Pediatric Dentistry · Rio Rancho, NM
NPI number
1790808111
Active
Practice location
1724 Grande Blvd SE
Rio Rancho, NM 87124-1726
Fax (505) 892-7579
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DD1745 (NM) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Rio Rancho
About NPI 1790808111
Westside Pediatric Dentistry's National Provider Identifier is 1790808111, issued on Apr 9, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Rio Rancho, NM. The record was last updated on Aug 22, 2020.