Organization
DENTAL HOUSE GOLF COURSE, LLC
Active
Other names
Dental House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS LEE (OPERATIONS MANAGER)
(505) 615-4332
Entity
Organization
Contact information
Practice address
8521 GOLF COURSE RD NW STE 116, ALBUQUERQUE, NM 87114-4549
(505) 897-6453
(505) 897-8027
Mailing address
8521 GOLF COURSE RD NW STE 116, ALBUQUERQUE, NM 87114-4549
(505) 897-6453
(505) 897-8027
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
06/11/2019
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