Organization
APEX DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNEEL KUMAR NAMBURI DMD (DENTIST)
(630) 730-9676
Entity
Organization
Contact information
Practice address
6330 RIVERSIDE PLAZA LN NW STE 165, ALBUQUERQUE, NM 87120-2160
(630) 730-9676
Mailing address
6330 RIVERSIDE PLAZA LN NW STE 165, ALBUQUERQUE, NM 87120-2160
(630) 730-9676
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4343
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32284756
MEDICAID NUMBER
NM
01
—
DD4343
DENTIST LICENCE
NM
Enumeration date
12/12/2017
Last updated
09/19/2022
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