Westside Pediatric Dentistry
Westside Pediatric Dentistry is a Pediatric Dentistry in Rio Rancho, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.
- Licensed in
- NM
- In the registry since
- 2007
Practice location Address checks out
1724 Grande Blvd SERio Rancho, NM 87124-1726
Phone: (505) 896-0245
Fax: (505) 892-7579
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence DD1745 (NM) |
|---|
Record details
| NPI number | 1790808111 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raymond Broussard — Owner · (505) 896-0245 |
| NPI enumerated | April 9, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1724 Grande Blvd Se, Rio Rancho, NM 87124-1726 |
Other providers in Rio Rancho
-
Brian K Hatch, DMD PC
1904 Wellspring Ave SE #105, Rio Rancho, NM 87124-4888 · (505) 415-0462
-
Tasker Hatch Rowan LLC
2421 Cabezon Blvd SE, Rio Rancho, NM 87124-1515 · (505) 884-5437