Organization
NOURI FAMILY DENTISTRY, LLC
Active
Other names
Sunridge Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER NOURI DDS (PARTNER)
(480) 296-3351
Entity
Organization
Contact information
Practice address
6400 CENTRAL AVE SW, ALBUQUERQUE, NM 87105-2033
(480) 296-3351
Mailing address
7704 FLORENCE AVE NE, ALBUQUERQUE, NM 87122-3769
(480) 296-3351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09756736
—
NM
Enumeration date
01/04/2022
Last updated
01/04/2022
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