Organization
PEDIATRIC AND SPECIAL CARE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT F BELFON DMD (PEDIATRIC DENTIST)
(505) 883-7262
Entity
Organization
Contact information
Practice address
6800 MONTGOMERY BLVD NE, SUITE F, ALBUQUERQUE, NM 87109-1405
(505) 883-7262
(505) 883-4563
Mailing address
6800 MONTGOMERY BLVD NE, SUITE F, ALBUQUERQUE, NM 87109-1405
(505) 883-7262
(505) 883-4563
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1860
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H8875
—
NM
Enumeration date
12/12/2011
Last updated
12/12/2011
Update your record
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