Organization
NEW MEXICO PROFESSIONAL DENTAL ASSOCIATES, INC
Active
Parent organization
NEW MEXICO PROFESSIONAL DENTAL ASSOCIATES, INC
Other names
Family Dentistry of Cherry Hills
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW MEXICO PROFESSIONAL DENTAL ASSOCIATES, INC
Authorized official
KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
5700 SAN ANTONIO DR NE, SUITE A1, ALBUQUERQUE, NM 87109-4128
(505) 273-5363
Mailing address
5700 SAN ANTONIO DR NE, SUITE A1, ALBUQUERQUE, NM 87109-4128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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