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Organization

COTTONWOOD DENTAL, LLC

Active
Other names
David Giaquinto, DDS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID R GIAQUINTO DDS (OWNER)
(505) 899-7645
Entity
Organization

Contact information

Practice address
3613 NM STATE HWY 528, SUITE D, ALBUQUERQUE, NM 87114-8918
(505) 899-7645
(505) 897-7415
Mailing address
3613 NM STATE HWY 528, SUITE D, ALBUQUERQUE, NM 87114-8918
(505) 899-7645
(505) 897-7415

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1464
NM

Other

Enumeration date
08/29/2014
Last updated
09/18/2014
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