Organization
SUNSHINE DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIAN HAYDEE JAIME DMD (PRESIDENT)
(505) 298-0456
Entity
Organization
Contact information
Practice address
10411 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111-3727
(505) 298-0456
(505) 298-4467
Mailing address
10411 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111-3727
(505) 298-0456
(505) 298-4467
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1865
NM
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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