Organization
FAMILY DENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY XAYAVONG (OFFICE MANAGER)
(505) 881-8979
Entity
Organization
Contact information
Practice address
4550 EUBANK BLVD, SUITE 203, ALBUQUERQUE, NM 87111
(505) 881-8979
(505) 881-8979
Mailing address
4550 EUBANK BLVD, SUITE 203, ALBUQUERQUE, NM 87111
(505) 881-8979
(505) 881-8979
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD1870
NM
Other
Enumeration date
12/22/2016
Last updated
03/02/2020
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