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Organization
WRN, P.C.
Active
Organization
WRN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R NICHOLS (DIRECTOR)
(505) 433-5204
Entity
Organization
Contact information
Practice address
4701 LOMAS BLVD NE, ALBUQUERQUE, NM 87110
(505) 433-5204
Mailing address
4701 LOMAS BLVD NE, ALBUQUERQUE, NM 87110-6233
(505) 433-5204
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2012
Last updated
10/23/2012
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