Organization
OHANA ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C RAWSON (CHIEF OPERATING OFFICER)
(505) 888-3520
Entity
Organization
Contact information
Practice address
4620 JEFFERSON LN NE STE C, ALBUQUERQUE, NM 87109-2149
(505) 888-3520
Mailing address
4620 JEFFERSON LN NE STE C, ALBUQUERQUE, NM 87109-2149
(505) 888-3520
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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