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Organization

BOSQUE FAMILY AND COSMETIC DENTISTRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. APRIL RENEE DANIELS (MANAGER)
(505) 869-6500
Entity
Organization

Contact information

Practice address
2280 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068-9334
(505) 869-6500
(505) 869-4036
Mailing address
2280 BOSQUE FARMS BLVD, BOSQUE FARMS, NM 87068-9334
(505) 869-6500
(505) 869-4036

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
10/27/2006
Last updated
08/22/2020
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