| NPI | 1528690914 |
|---|---|
| Doing Business As | RIO GRANDE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | DEVAN VEST Owner 505-662-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |