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Organization

NM DENTAL IMPLANTS LLC

Active
Other names
ABQ Dental Implant Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACOB ROGERS DDS (MANAGING MEMBER)
(505) 350-3786
Entity
Organization

Contact information

Practice address
3520 MONTGOMERY BLVD NE STE B, ALBUQUERQUE, NM 87107-4846
(505) 705-8808
(505) 705-8905
Mailing address
3520 MONTGOMERY BLVD NE STE B, ALBUQUERQUE, NM 87107-4846
(505) 705-8808
(505) 705-8905

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
12/07/2022
Last updated
12/07/2022
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