Organization
ELI HANOSH DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELI HANOSH (PRESIDENT)
(505) 881-8488
Entity
Organization
Contact information
Practice address
6208 MONTGOMERY BLVD NE STE A, ALBUQUERQUE, NM 87109-1400
(505) 881-8488
(505) 889-4065
Mailing address
6208 MONTGOMERY BLVD NE STE A, ALBUQUERQUE, NM 87109-1400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2923
NM
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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