Organization
ABQ DENTISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLINA REACHI DDS (OWNER/DENTIST)
(505) 293-8011
Entity
Organization
Contact information
Practice address
3900 EUBANK BLVD NE STE 14, ALBUQUERQUE, NM 87111-3427
(505) 293-8011
(505) 715-5864
Mailing address
3900 EUBANK BLVD NE STE 14, ALBUQUERQUE, NM 87111-3427
(505) 293-8011
(505) 715-5864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518977396
PRIVATE PRACTICE
NM
Enumeration date
01/07/2020
Last updated
01/22/2020
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