# ADVANTAGE DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881158822
- **Authorized official:** DR. TINA NGUYEN DMD (DENTIST/OWNER)
- **Authorized official phone:** (505) 292-4940

## Contact information

- **Practice address:** 9212 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2408
- **Practice address phone:** (505) 292-4940
- **Mailing address:** 9212 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2408
- **Mailing address phone:** (505) 292-4940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2019
- **Last updated:** 01/23/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 46202269 | — | NM |
| 05 | — | 58927352 | — | NM |