Dr. Kirk Scott Wondra, DDS
Dentist, General Practice in Rio Rancho, NM. Individual provider (NPI-1).
NPI number1609809656
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1609809656
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kirk Scott Wondra
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 1796 | NM | Yes |
Practice location
4320 Ridgecrest Dr Se Ste ERio Rancho, NM 87124-5971
Phone 505-891-1100 · Fax 505-891-1094
Mailing address
4320 Ridgecrest Dr Se Ste ERio Rancho, NM 87124-5971
Phone 505-891-1100 · Fax 505-891-1094
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