# COLIN FORDE DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family & Cosmetic Dental Design
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275965568
- **Authorized official:** COLIN A FORDE DDS (GENERAL DENTIST)
- **Authorized official phone:** (505) 883-3722

## Contact information

- **Practice address:** 7520 MONTGOMERY BLVD NE STE C, ALBUQUERQUE, NM 87109-1521
- **Practice address phone:** (505) 883-3722
- **Practice address fax:** (505) 884-1479
- **Mailing address:** 7520 MONTGOMERY BLVD NE STE C, ALBUQUERQUE, NM 87109-1521
- **Mailing address phone:** (505) 883-3722
- **Mailing address fax:** (505) 884-1479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD3583 | NM | Yes |

## Other

- **Enumeration date:** 08/08/2013
- **Last updated:** 11/07/2014