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Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Organization
PRESBYTERIAN HEALTHCARE SERVICES
Active
Other names
PMG Pan American Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T POLAND (MANAGER PROVIDER ENROLLMENT)
(505) 923-5355
Entity
Organization
Contact information
Practice address
6100 PAN AMERICAN EAST FWY NE STE 355, ALBUQUERQUE, NM 87109-3401
(505) 823-8488
(505) 823-8454
Mailing address
PO BOX 26666, SUITE 390, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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