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Organization
C. MAHLON FRALEIGH, DDS, LLC
Active
Organization
C. MAHLON FRALEIGH, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUD MAHLON FRALEIGH II D.D.S. (OWNER)
(505) 293-2644
Entity
Organization
Contact information
Practice address
8400 OSUNA RD NE, STE 4-B, ALBUQUERQUE, NM 87111-2087
(505) 293-2644
(505) 293-2298
Mailing address
8400 OSUNA RD NE, STE 4-B, ALBUQUERQUE, NM 87111-2087
(505) 293-2644
(505) 293-2298
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DD2619
NM
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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