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Organization

JHR SMILES LLC

Active
Other names
DESERT RIDGE DENTAL
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACOB H ROGERS DDS (DENTIST/OWNER)
(505) 890-3000
Entity
Organization

Contact information

Practice address
6521 PARADISE BLVD NW STE M, ALBUQUERQUE, NM 87114-6199
(505) 890-3000
Mailing address
6521 PARADISE BLVD NW STE M, ALBUQUERQUE, NM 87114-6199
(505) 890-3000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3645
NM

Other

Enumeration date
05/06/2015
Last updated
05/06/2015
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