| NPI | 1063892685 |
|---|---|
| Doing Business As | RIO GRANDE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JULIE LIM Administrator 915-603-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| 122300000X Dentist | |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality | |
| 1223E0200X Dentist, Endodontics | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-12-02 |