Organization
FC 120 98TH LLC
Active
Other names
Family Choice
Organization subpart
No
Provider details
NPI number
Authorized official
AISHA WILLIAMS (COO)
(830) 347-1844
Entity
Organization
Contact information
Practice address
120 98TH ST NW STE C3, ALBUQUERQUE, NM 87121-9021
(830) 347-1844
Mailing address
120 98TH ST NW STE C3, ALBUQUERQUE, NM 87121-9021
(830) 347-1844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
01/15/2025
Last updated
01/24/2025
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