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Organization

JUST FOR KIDS DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL H MORTAJI DDS (DENTIST)
(505) 839-3703
Entity
Organization

Contact information

Practice address
3301 COORS RD NW, SUITE 1, ALBUQUERQUE, NM 87120
(505) 839-3703
(505) 839-3704
Mailing address
3301 COORS RD NW, SUITE 1, ALBUQUERQUE, NM 87120
(505) 839-3703
(505) 839-3704

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1223P0221X
Pediatric Dentistry

Other

Enumeration date
10/06/2006
Last updated
09/11/2025
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