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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
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