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Organization
TRI DENTAL, LLC
Active
Organization
TRI DENTAL, LLC
Active
Other names
Sonrisa Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENTON M MASON DMD (MEMBER)
(505) 301-4267
Entity
Organization
Contact information
Practice address
3715 LAS ESTANCIAS CT SW STE 101, ALBUQUERQUE, NM 87121-5506
(505) 873-1819
Mailing address
3715 LAS ESTANCIAS CT SW STE 101, ALBUQUERQUE, NM 87121-5506
(505) 873-1819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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