WISTERIA DENTAL LLC

RIO RANCHO, NM
NPI1306650833
Entity TypeOrganization
Authorized ContactTRANG LE
Owner Dentist
505-896-6654
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2025-02-05
Last Update Date2025-02-05
Business Address
WISTERIA DENTAL LLC
1904 WELLSPRING AVE SE
RIO RANCHO, NM 87124-4888
Phone number: 505-896-6654
Mailing Address
WISTERIA DENTAL LLC
1904 WELLSPRING AVE SE
RIO RANCHO, NM 87124-4888
Phone number: 505-896-6654
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