Organization
COSMETIC & NATURAL DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY HERBERT EDWARDS D.D.S (PRESIDENT)
(505) 896-9399
Entity
Organization
Contact information
Practice address
1137 COMMERCIAL DR SE, RIO RANCHO, NM 87124-4658
(505) 896-9399
(505) 896-1686
Mailing address
1137 COMMERCIAL DR SE, ALBUQUERQUE, NM 87124-4658
(505) 896-9399
(505) 896-1686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2548
NM
122300000X
Dentist
DD2550
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33123888
—
NM
05
—
59325771
—
NM
Enumeration date
05/01/2009
Last updated
05/12/2009
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