| NPI | 1346662749 |
|---|---|
| Doing Business As | RIO RANCHO MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CONNER Owner 505-892-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2022-05-11 |