Organization
RAINBOW DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN HWANG MD (OWNER)
(505) 890-6101
Entity
Organization
Contact information
Practice address
8611 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5775
(505) 890-6101
(505) 890-6102
Mailing address
8611 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5775
(505) 890-6101
(505) 890-6102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2018
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23082
—
NM
Enumeration date
02/23/2006
Last updated
07/15/2008
Update your record
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