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Organization
ALBUQUERQUE EMERGENCY DENTAL CARE USA, INC
Active
Organization
ALBUQUERQUE EMERGENCY DENTAL CARE USA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K OBENG DDS (OWNER/PRESIDENT)
(402) 597-1186
Entity
Organization
Contact information
Practice address
10820 COMANCHE RD NE, ALBUQUERQUE, NM 87111-3983
(505) 296-9911
(505) 332-9118
Mailing address
1338 N 143RD AVENUE CIR, OMAHA, NE 68154-5108
(402) 597-1186
(402) 597-3643
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2009
Last updated
01/19/2010
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