Organization
BLUE SKY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY W WOODS DMD (REGISTERED AGENT)
(505) 331-2945
Entity
Organization
Contact information
Practice address
10555 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-3857
(505) 275-2492
Mailing address
14005 MESITA CLIFF RD NE, ALBUQUERQUE, NM 87112-6517
(505) 331-2945
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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