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Organization
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATE OF NEW MEXICO, P.A.
Active
Organization
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATE OF NEW MEXICO, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C MITCHELL D.D.S. (MANAGING PARTNER)
(505) 881-1130
Entity
Organization
Contact information
Practice address
6800 MONTGOMERY BLVD NE, SUITE A, ALBUQUERQUE, NM 87109-1405
(505) 881-1130
Mailing address
6800 MONTGOMERY BLVD NE, SUITE A, ALBUQUERQUE, NM 87109-1405
(505) 881-1130
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
02-256180-00-3
NM
Other
Enumeration date
05/31/2007
Last updated
07/08/2009
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