Organization
WESTSIDE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA G DELAO (OFFICE MANAGER)
(505) 897-6889
Entity
Organization
Contact information
Practice address
5920 WHITEMAN DR NW, ALBUQUERQUE, NM 87120
(505) 897-6889
(505) 922-1319
Mailing address
5920 WHITEMAN DR NW, ALBUQUERQUE, NM 87120
(505) 897-6889
(505) 922-1319
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2025
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77555
—
NM
Enumeration date
04/12/2007
Last updated
08/22/2020
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