Organization
KID'S CHOICE DENTAL, INC
Active
Other names
Family Choice Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID NOYES JR. DDS (OWNER)
(505) 352-5439
Entity
Organization
Contact information
Practice address
120 98TH ST NW STE C3, ALBUQUERQUE, NM 87121-9021
(505) 352-5439
(505) 836-7533
Mailing address
120 98TH ST NW STE C3, ALBUQUERQUE, NM 87121-9021
(505) 352-5439
(505) 836-7533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2523
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1768244
UNITED CONCORDIA GROUP #
PA
05
—
57459568
—
NM
Enumeration date
03/14/2007
Last updated
07/29/2020
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