NPI 1003355363

David Chodosh, DDS

Practitioner Dentist Rio Rancho, NM

Practice location

Address: 2200 Grande Blvd SE STE a, Rio Rancho, NM 87124
Phone: (505) 891-1500
Mailing address: 715 Mountain Rd NW, Albuquerque, NM 87102-2070

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DD4690 (NM)

Other Dentist providers in New Mexico →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence DD4690 (NM)

Registry record

NPI: 1003355363
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2017
Record last updated: 17 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.