Organization
BENTZCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN BENTZ (CO-MANAGER)
(505) 818-8588
Entity
Organization
Contact information
Practice address
3777 THE AMERICAN RD NW, ALBUQUERQUE, NM 87114-1338
(505) 890-2185
(505) 890-2168
Mailing address
5 HIGHWAY 474, ALGODONES, NM 87001-8028
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
R17548
NM
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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