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Organization

WESTSIDE ORAL SURGERY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER J LARMOUR D.M.D. (OWNER)
(505) 899-6979
Entity
Organization

Contact information

Practice address
1628 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114-8807
(505) 899-6979
(505) 899-6980
Mailing address
1628 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114-8807
(505) 899-6979
(505) 899-6980

Taxonomy

Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
DD2870
NM

Other

Enumeration date
10/15/2008
Last updated
10/15/2008
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