Organization
PERFECT TEETH - WYOMING AND CANDELARIA P.C.
Active
Other names
Perfect Teeth - Wyoming and Candelaria P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE SUMMERS (CREDENTIALING)
(303) 285-6098
Entity
Organization
Contact information
Practice address
8501 CANDELARIA RD NE, SUITE D3, ALBUQUERQUE, NM 87112-1034
(505) 293-2334
(505) 293-2747
Mailing address
8501 CANDELARIA RD NE, SUITE D3, ALBUQUERQUE, NM 87112-1034
(505) 293-2334
(505) 293-2747
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1398
NM
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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