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Organization

EYE AND FACIAL SURGERY OF NM

Active
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Organization

EYE AND FACIAL SURGERY OF NM

Active
Other names
Eye and Facial Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS M SANDOVAL MD (PRESIDENT)
(505) 875-0103
Entity
Organization

Contact information

Practice address
6500 JEFFERSON ST NE, SUITE 100, ALBUQUERQUE, NM 87109-3489
(505) 875-0103
(505) 875-0388
Mailing address
6500 JEFFERSON ST NE, SUITE 100, ALBUQUERQUE, NM 87109-3489
(505) 875-0103
(505) 875-0388

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
NM

Other

Enumeration date
11/06/2006
Last updated
08/22/2020
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