Organization
COMMUNITY DENTAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A VARGAS (EXECUTIVE DIRECTOR)
(505) 843-7493
Entity
Organization
Contact information
Practice address
2116 HINKLE ST SE, ALBUQUERQUE, NM 87102-4930
(505) 843-7493
(505) 843-7581
Mailing address
2116 HINKLE ST SE, ALBUQUERQUE, NM 87102-4930
(505) 843-7493
(505) 843-7581
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47506
—
NM
05
—
85831
—
NM
05
—
87703
—
NM
Enumeration date
08/30/2006
Last updated
08/22/2020
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