# JUST FOR KIDS DENTAL

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

## Provider details

- **NPI number:** 1265529655
- **Authorized official:** MICHAEL H MORTAJI DDS (DENTIST)
- **Authorized official phone:** (505) 839-3703

## Contact information

- **Practice address:** 3301 COORS RD NW, SUITE 1, ALBUQUERQUE, NM 87120
- **Practice address phone:** (505) 839-3703
- **Practice address fax:** (505) 839-3704
- **Mailing address:** 3301 COORS RD NW, SUITE 1, ALBUQUERQUE, NM 87120
- **Mailing address phone:** (505) 839-3703
- **Mailing address fax:** (505) 839-3704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 09/11/2025