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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHERN BLVD DENTAL CORP, PA

Active Organization

SOUTHERN BLVD DENTAL CORP, PA is a General Dentistry organization located in RIO RANCHO, New Mexico. NPI 1316963739 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · RIO RANCHO, NM

Registration Details

NPI Number
1316963739
Provider Type
Organization
NPI Issued
Jul 15, 2006 (20.091761437783 yrs)
Last Updated
Aug 22, 2020
Licenses
DD1523 (NM)
DD1498 (NM)

Practice Information

Address
2716 SOUTHERN BLVD SE
RIO RANCHO, NM, 871243741
Browse NM providers · Browse ZIP 87124
Phone
5058928600
Fax
5058924215
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Organizations in RIO RANCHO, NM

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.