Organization
CELEBRACES NM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CLAYDEN DDS, MSD (MEMBER)
(720) 427-2818
Entity
Organization
Contact information
Practice address
1625 RIO BRAVO BLVD SW, SUITE 33, ALBUQUERQUE, NM 87105-6057
(720) 427-2818
Mailing address
1625 RIO BRAVO BLVD SW, SUITE 33, ALBUQUERQUE, NM 87105-6057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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