Organization
PARADISE HILLS FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAPIL GREWAL DDS (PRESIDENT)
(505) 200-0187
Entity
Organization
Contact information
Practice address
8201 GOLF COURSE RD NW, C-3, ALBUQUERQUE, NM 87120
(505) 200-0187
Mailing address
717 ENCINO PL NE, STE 6, ALBUQUERQUE, NM 87102
(505) 200-0187
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4182
NM
Other
Enumeration date
02/06/2017
Last updated
02/20/2017
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