Canyon Dental Care
LBN: Ryan H Wilson Dds Llc
Canyon Dental Care is an health care organization with primary practice located at 4760 N Butler Ave Ste D , Farmington NM 87401-0816. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Ryan H Wilson Dds Llc can be contacted via phone (505) 278-7007, or through Wilson, Ryan Hastiin via phone (505) 278-7007.
Contact Information
Primary practice address
4760 N Butler Ave Ste D
Farmington NM 87401-0816
Phone: (505) 278-7007
Fax: (505) 325-0817
Website:
Authorized official contact:
Name: Wilson, Ryan Hastiin Doctor of Dental Surgery (DDS)
Phone: (505) 278-7007
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD3162 | New Mexico |
Profile Details
| NPI number | 1942604533 |
|---|---|
| LBN Legal business name | Ryan H Wilson Dds Llc |
| DBA Doing business as | Canyon Dental Care |
| Authorized official | Wilson, Ryan Hastiin Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 10th, 2014 |
| Last updated | Oct 10th, 2014 - about 12 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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