Organization
SOUTHWEST DENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WILSON DMD (DENTIST)
(505) 249-4683
Entity
Organization
Contact information
Practice address
4701 LOMAS BLVD NE, ALBUQUERQUE, NM 87110-6233
(505) 232-2273
(505) 255-2990
Mailing address
3924 BAY HILL LOOP SE, RIO RANCHO, NM 87124-8251
(505) 249-4683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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