Organization
GS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SILL (OWNER)
(505) 883-5835
Entity
Organization
Contact information
Practice address
7910 WYOMING BLVD N.E. #A, ALBUQUERQUE, NM 87109
(505) 883-5835
(505) 830-3120
Mailing address
7910 WYOMING BLVD N.E. #A, ALBUQUERQUE, NM 87109
(505) 883-5835
(505) 830-3120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1484
NM
1223G0001X
General Practice Dentistry
DD3266
NM
Other
Enumeration date
02/01/2016
Last updated
05/22/2023
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