# ALBUQUERQUE EMERGENCY DENTAL CARE USA, INC

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

## Provider details

- **NPI number:** 1700115078
- **Authorized official:** DR. MICHAEL K OBENG DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (402) 597-1186

## Contact information

- **Practice address:** 10820 COMANCHE RD NE, ALBUQUERQUE, NM 87111-3983
- **Practice address phone:** (505) 296-9911
- **Practice address fax:** (505) 332-9118
- **Mailing address:** 1338 N 143RD AVENUE CIR, OMAHA, NE 68154-5108
- **Mailing address phone:** (402) 597-1186
- **Mailing address fax:** (402) 597-3643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2009
- **Last updated:** 01/19/2010
