Provider Demographics
NPI:1386290468
Name:COMFORTABLE DENTISTRY 4U - RIO RANCHO, LLC
Entity type:Organization
Organization Name:COMFORTABLE DENTISTRY 4U - RIO RANCHO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLESINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:505-389-5707
Mailing Address - Street 1:918 PINEHURST RD SE STE 103
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-2568
Mailing Address - Country:US
Mailing Address - Phone:505-610-4531
Mailing Address - Fax:
Practice Address - Street 1:918 PINEHURST RD SE STE 103
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-2568
Practice Address - Country:US
Practice Address - Phone:505-610-4531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-14
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty