770 Broadmoor Rio Rancho Professional Llc

LBN: 770 Broadmoor Rio Rancho Professional Llc
770 Broadmoor Rio Rancho Professional Llc is an health care organization with primary practice located at 770 Broadmoor Blvd Ne , Rio Rancho NM 87124-3442. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. 770 Broadmoor Rio Rancho Professional Llc can be contacted via phone (505) 891-0554, or through Gamboa, Amy via phone (505) 891-0554.

Contact Information

Primary practice address
770 Broadmoor Blvd Ne Rio Rancho NM 87124-3442
Phone: (505) 891-0554
Fax: (505) 891-0552
Website:
Map and Directions
Authorized official contact:
Name: Gamboa, Amy
Phone: (505) 891-0554

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1841890373
LBN Legal business name 770 Broadmoor Rio Rancho Professional Llc
DBA Doing business as
Authorized official Gamboa, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2020
Last updated Oct 26th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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