Organization
DR. DENTAL OF NEW MEXICO
Active
Other names
Dr. Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNEEL KUMAR NAMBURI DMD (DENTIST)
(630) 730-9676
Entity
Organization
Contact information
Practice address
800 JUAN TABO BLVD NE STE Q, ALBUQUERQUE, NM 87123-1444
(505) 554-2262
(505) 554-2697
Mailing address
800 JUAN TABO BLVD NE STE Q, ALBUQUERQUE, NM 87123-1444
(505) 554-2262
(505) 554-2697
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4343
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32284756
—
NM
Enumeration date
04/06/2016
Last updated
09/19/2022
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