Individual
KRANTIKUMARI BELLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 JUAN TABO BLVD NE STE Q, ALBUQUERQUE, NM 87123-1444
(781) 708-6656
Mailing address
800 JUAN TABO BLVD NE STE Q, ALBUQUERQUE, NM 87123-1444
(781) 708-6656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4344
NM
Other
Enumeration date
09/08/2014
Last updated
10/01/2023
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