Individual
RAKTIM BIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
510 NM 528, SUITE I, ALBUQUERQUE, NM 87004
(505) 867-0665
Mailing address
510 NM 528, SUITE I, ALBUQUERQUE, NM 87004
(505) 867-0665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
202437
CO
1223G0001X
General Practice Dentistry
Primary
DD4679
NM
Other
Enumeration date
02/04/2015
Last updated
07/20/2023
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