Organization
ROBERT C SUPPLE DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZY PRICE (OFFICE MANAGER)
(505) 294-8869
Entity
Organization
Contact information
Practice address
8401 OSUNA RD NE STE C, ALBUQUERQUE, NM 87111-2074
(505) 294-8869
(505) 292-2071
Mailing address
8401 OSUNA RD NE STE C, ALBUQUERQUE, NM 87111-2074
(505) 294-8869
(505) 292-2071
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1365
NM
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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