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Organization

DEMING CHILDREN'S DENTISTRY

Active
Other names
Deming Children's Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KYE GRANT KINZER DDS (DENTIST)
(505) 892-9010
Entity
Organization

Contact information

Practice address
8201 GOLFCOURSE RD NW C-3, ALBUQUERQUE, NM 87120
(505) 892-9010
(505) 899-4804
Mailing address
8201 GOLF COURSE RD NW STE C3, ALBUQUERQUE, NM 87120-5805
(505) 892-9010
(505) 899-4804

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4143
NM

Other

Enumeration date
07/31/2014
Last updated
07/31/2014
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