# LRJ DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Dental Sleep Medicine & TMJ
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952027146
- **Authorized official:** KINNARI JARIWALA (OWNER)
- **Authorized official phone:** (816) 835-4622

## Contact information

- **Practice address:** 8311 SAN PEDRO DR NE STE 3, ALBUQUERQUE, NM 87113-2540
- **Practice address phone:** (505) 433-2107
- **Practice address fax:** (505) 508-2674
- **Mailing address:** 601 MENAUL BLVD NE UNIT 1303, ALBUQUERQUE, NM 87107-1571
- **Mailing address phone:** (505) 453-0637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2022
- **Last updated:** 10/18/2022