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Organization
DENTAL HOUSE TRADE WINDS, LLC
Active
Organization
DENTAL HOUSE TRADE WINDS, LLC
Active
Other names
Dental House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS LEE (PRESIDENT/SECRETARY)
(505) 508-1118
Entity
Organization
Contact information
Practice address
7930 WYOMING BLVD NE STE C, ALBUQUERQUE, NM 87109-6019
(505) 508-1118
Mailing address
7930 WYOMING BLVD NE STE C, ALBUQUERQUE, NM 87109-6019
(505) 508-1118
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2016
Last updated
06/02/2021
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