Organization
ENCINO DENTAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP RICHARDSON CPDH, DOM (OWNER)
(505) 843-9636
Entity
Organization
Contact information
Practice address
717 ENCINO PL NE, SUITE 7, ALBUQUERQUE, NM 87102-2611
(505) 843-9636
(505) 843-6277
Mailing address
717 ENCINO PL NE, SUITE 7, ALBUQUERQUE, NM 87102-2611
(505) 843-9636
(505) 843-6277
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 812
NM
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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