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Organization
MANSOUR FAMILY DENTISTRY & INVISALIGN INC
Active
Organization
MANSOUR FAMILY DENTISTRY & INVISALIGN INC
Active
Other names
NA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAT MANSOUR DDS (PRESIDENT)
(505) 720-5726
Entity
Organization
Contact information
Practice address
8201 GOLF COURSE RD NW STE C3, ALBUQUERQUE, NM 87120-5805
(505) 200-0187
Mailing address
8201 GOLF COURSE RD NW STE C3, ALBUQUERQUE, NM 87120-5805
(505) 200-0187
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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