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Organization
HERO DENTAL OF ALBUQUERQUE PC
Active
Organization
HERO DENTAL OF ALBUQUERQUE PC
Active
Other names
Adventure Dental, Vision and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN URBANOZO (CREDENTIALING MANAGER)
(719) 323-2362
Entity
Organization
Contact information
Practice address
5000 MENAUL BLVD, STE B, ALBUQUERQUE, NM 87110-3046
(505) 872-1212
(505) 872-1213
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 955-8896
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56620721
—
NM
Enumeration date
07/14/2011
Last updated
09/09/2025
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