Organization
UNCOMMON PC 120 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHA WILLIAMS (COO)
(830) 347-1844
Entity
Organization
Contact information
Practice address
120 EUBANK BLVD SE, ALBUQUERQUE, NM 87123-3399
(505) 600-2000
(505) 600-2183
Mailing address
120 EUBANK BLVD SE, ALBUQUERQUE, NM 87123-3399
(505) 600-2000
(505) 600-2183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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