Organization
NEW MEXICO CENTER FOR CRANIOFACIAL PAIN,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN J. BRABB DDS (MANAGER)
(505) 883-6446
Entity
Organization
Contact information
Practice address
7111 PROSPECT PL NE, SUITE D-301, ALBUQUERQUE, NM 87110-4309
(505) 883-6446
Mailing address
7111 PROSPECT PL NE, SUITE D-301, ALBUQUERQUE, NM 87110-4309
(505) 883-6446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D664
NM
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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