Organization
COTTONWOOD ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS TORREBIARTE DDS (ORTHODONTIST)
(505) 766-4800
Entity
Organization
Contact information
Practice address
3730 ELLISON RD NW, SUITE B, ALBUQUERQUE, NM 87114-7009
(505) 766-4800
(505) 898-5270
Mailing address
3730 ELLISON RD NW, SUITE B, ALBUQUERQUE, NM 87114-7009
(505) 766-4800
(505) 898-5270
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD1985
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009084
—
NM
01
—
1124096995
INDIVIDUAL NPI FOR DOCTOR
NM
Enumeration date
03/28/2008
Last updated
03/28/2008
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