# SOUTHWEST DENTAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033899547
- **Authorized official:** ELIZABETH WILSON DMD (DENTIST)
- **Authorized official phone:** (505) 249-4683

## Contact information

- **Practice address:** 4701 LOMAS BLVD NE, ALBUQUERQUE, NM 87110-6233
- **Practice address phone:** (505) 232-2273
- **Practice address fax:** (505) 255-2990
- **Mailing address:** 3924 BAY HILL LOOP SE, RIO RANCHO, NM 87124-8251
- **Mailing address phone:** (505) 249-4683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2023
- **Last updated:** 07/19/2023