Organization
WILSON RADIOGRAPHIC CENTER OF ALBUQUERQUE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA BURNS D.A. (OWNER)
(505) 883-5066
Entity
Organization
Contact information
Practice address
3901 LOUISIANA BLVD NE, SUITE E, ALBUQUERQUE, NM 87110-1577
(505) 883-5066
(505) 888-9466
Mailing address
3901 LOUISIANA BLVD NE, SUITE E, ALBUQUERQUE, NM 87110-1577
(505) 883-5066
(505) 888-9466
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
FA0000071
NM
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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