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Organization
PINO PERIODONTICS, LLC
Active
Organization
PINO PERIODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA A PINO (OFFICE MANAGER)
(505) 822-0565
Entity
Organization
Contact information
Practice address
7007 WYOMING BLVD NE STE D1, ALBUQUERQUE, NM 87109-3981
(505) 822-0565
(505) 821-4242
Mailing address
PO BOX 94598, ALBUQUERQUE, NM 87199-4598
(505) 822-0565
(505) 821-4242
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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