| NPI | 1184192270 |
|---|---|
| Doing Business As | RIO MIMBRES FAMILY DENTAL AND ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JOSHUA ELLISS Owner 702-557-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |