Search › New Mexico › 1223E0200X
Ryan Wilson, DDS
NPI 1780811984 · on the registry since 2009 · sole proprietor
Practice
- Address
- 6810 Menaul Blvd Ne Ste B
Albuquerque, NM 87110 - Phone
- (505) 872-1100
- Organisation at this address
- Albuquerque Modern Dentists, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 101 Los Miradores Dr Ne, Rio Rancho, NM
- 6810 Menaul Blvd Ne Ste B, Albuquerque, NM
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico