# PERFECT TEETH / VENADA PLAZA P.C.

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

## Provider details

- **NPI number:** 1992035224
- **Authorized official:** LAUREN HILL (RCM, DIRECTOR)
- **Authorized official phone:** (972) 930-7707

## Contact information

- **Practice address:** 510 NM 528, SUITE I, BERNALILLO, NM 87004
- **Practice address phone:** (505) 867-0665
- **Mailing address:** 510 NM 528, SUITE I, BERNALILLO, NM 87004
- **Mailing address phone:** (505) 867-0665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1398 | NM | Yes |

## Other

- **Enumeration date:** 01/08/2010
- **Last updated:** 09/19/2022
