Organization
SIGNATURE NEW MEXICO DENTAL PARTNERS
Active
Parent organization
SIGNATURE DENTAL PARTNERS LLC
Other names
ABQ East Mountain Dentists, ABQ Dentists, ABQ Uptown Denists
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIGNATURE DENTAL PARTNERS LLC
Authorized official
MELODY BENNION (DIRECTOR OF INTEGRATIONS)
(480) 234-8490
Entity
Organization
Contact information
Practice address
3900 EUBANK BLVD NE STE 14, ALBUQUERQUE, NM 87111-3427
(505) 293-8011
Mailing address
410 N 44TH ST STE 290, PHOENIX, AZ 85008-7622
(480) 234-8490
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
07/25/2024
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