# CUBERO DENTAL ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689728651
- **Authorized official:** MICHAEL J FARRELL DDS (PRESIDENT)
- **Authorized official phone:** (505) 822-0663

## Contact information

- **Practice address:** 5920 CUBERO DR NE, ALBUQUERQUE, NM 87109-3867
- **Practice address phone:** (505) 822-0663
- **Practice address fax:** (505) 797-0531
- **Mailing address:** 5920 CUBERO DR NE, ALBUQUERQUE, NM 87109-3867
- **Mailing address phone:** (505) 822-0663
- **Mailing address fax:** (505) 797-0531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1480 | NM | — |
| 1223G0001X | General Practice Dentistry | 2031 | NM | Yes |
| 1223G0001X | General Practice Dentistry | 2298 | NM | — |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020