Organization
FAMILY DENTAL HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BOUNLOUAM XAYAVONG (OWNER)
(505) 872-4444
Entity
Organization
Contact information
Practice address
7520 MONTGOMERY BLVD NE, BLDGE C STE C, ALBUQUERQUE, NM 87109-1521
(505) 872-4444
Mailing address
7520 MONTGOMERY BLVD NE, BLDGE C STE C, ALBUQUERQUE, NM 87109-1521
(505) 872-4444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/11/2008
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