Organization
SANDIA HEIGHTS DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE LEE (OWNER/DENTIST)
(505) 332-8025
Entity
Organization
Contact information
Practice address
12241 ACADEMY RD NE, SUITE 203, ALBUQUERQUE, NM 87111-8051
(505) 332-8025
(505) 332-8438
Mailing address
12241 ACADEMY RD NE, SUITE 203, ALBUQUERQUE, NM 87111-8051
(505) 332-8025
(505) 332-8438
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3442
NM
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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