# GHERARDI & MOORE PA

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

## Provider details

- **NPI number:** 1770696064
- **Authorized official:** PATTY GIBSON (OFFICE MGR)
- **Authorized official phone:** (505) 293-6125

## Contact information

- **Practice address:** 3900 EUBANK NE, SUITE 5, ALBUQUERQUE, NM 87111
- **Practice address phone:** (505) 293-6125
- **Practice address fax:** (505) 293-6130
- **Mailing address:** 3900 EUBANK NE, SUITE 5, ALBUQUERQUE, NM 87111
- **Mailing address phone:** (505) 293-6125
- **Mailing address fax:** (505) 293-6130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1350 | NM | Yes |
| 1223G0001X | General Practice Dentistry | 1844 | NM | — |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 08/22/2020