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Organization
SANDIA DENTAL CARE LLC
Active
Organization
SANDIA DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH L KASSAM DDS (OWNER)
(505) 884-8000
Entity
Organization
Contact information
Practice address
6800 MONTGOMERY BLVD NE, SUITE C, ALBUQUERQUE, NM 87109-1405
(505) 884-8000
(505) 884-4012
Mailing address
6800 MONTGOMERY BLVD NE, SUITE C, ALBUQUERQUE, NM 87109-1405
(505) 884-8000
(505) 884-4012
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2810
NM
Other
Enumeration date
05/11/2015
Last updated
05/18/2015
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