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Organization
PEDIATRIC DENTAL ASSOCIATES OF NM PC
Active
Organization
PEDIATRIC DENTAL ASSOCIATES OF NM PC
Active
Other names
smiles for kids
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER JOHN TASKER DMD (OWNER/DENTIST)
(505) 892-9010
Entity
Organization
Contact information
Practice address
8501 CANDELARIA RD NE, NE SUITE D-2, ALBUQUERQUE, NM 87112-1034
(505) 299-9606
(505) 299-9740
Mailing address
8501 CANDELARIA RD NE, NE SUITE D-2, ALBUQUERQUE, NM 87112-1034
(505) 299-9606
(505) 299-9740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PT0111434
NM
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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