| NPI | 1841890373 |
|---|---|
| Doing Business As | SUNDANCE DENTAL CARE OF RIO RANCHO |
| Entity Type | Organization |
| Authorized Contact | AMY GAMBOA Office Manager 505-891-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |