NEW MEXICO DEPARTMENT OF HEALTH

Dentist

NPI: 1912024027Organization

Specialties, Licenses & Credentials

General Practice Dentistry

Dentist — General Practice

Code: 1223G0001X

DD3457(NM)

DentistPrimary

Dentist

Code: 122300000X

DD1302(NM)

Contact & Hours

Address: 7905 MARBLE AVE NE
ALBUQUERQUE, NM 87110
Phone: (505) 232-5710

Quick Facts

NPI: 1912024027
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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