Organization
SERENITY DENTAL AND SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNY XAYAVONG (PRESIDENT)
(505) 710-5018
Entity
Organization
Contact information
Practice address
441 WYOMING BLVD NE, ALBUQUERQUE, NM 87123-1033
(505) 710-5018
Mailing address
441 WYOMING BLVD NE, ALBUQUERQUE, NM 87123-1033
(505) 710-5018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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