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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