Organization
NE HEIGHTS MODERN DENTISTRY, LLC
Active
Other names
NE Heights Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE L MCCANN DDS (OWNER DR)
(505) 821-4422
Entity
Organization
Contact information
Practice address
5901 WYOMING BLVD NE STE W, ALBUQUERQUE, NM 87109-3859
(505) 821-4422
(505) 797-8280
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/20/2011
Last updated
08/05/2014
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