# NOURI FAMILY DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunridge Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427719244
- **Authorized official:** DR. ALEXANDER NOURI DDS (PARTNER)
- **Authorized official phone:** (480) 296-3351

## Contact information

- **Practice address:** 6400 CENTRAL AVE SW, ALBUQUERQUE, NM 87105-2033
- **Practice address phone:** (480) 296-3351
- **Mailing address:** 7704 FLORENCE AVE NE, ALBUQUERQUE, NM 87122-3769
- **Mailing address phone:** (480) 296-3351

## Taxonomy

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

## Other

- **Enumeration date:** 01/04/2022
- **Last updated:** 01/04/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09756736 | — | NM |