| NPI | 1124779210 |
|---|---|
| Doing Business As | SONRISA FAMILY DENTAL- RIO RANCHO |
| Entity Type | Organization |
| Authorized Contact | BRENTON MASON Member 505-301-4267 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-11 |