Individual
CESAR MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5505 CENTRAL AVE NE, ALBUQUERQUE, NM 87108-1601
(505) 843-6060
Mailing address
8001 MACNISH DR NE, ALBUQUERQUE, NM 87109-6475
(832) 982-9072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DB-2025-0162
NM
Other
Enumeration date
03/08/2023
Last updated
08/11/2025
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