Organization
ALBUQUERQUE MODERN DENTISTRY, LLC
Active
Other names
Albuquerque Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO HERREJON-RUIZ DMD (OWNER DOCTOR)
(505) 352-1166
Entity
Organization
Contact information
Practice address
2800- A COORS BLVD NW, ALBUQUERQUE, NM 87120-1204
(505) 352-1166
(505) 352-2805
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/25/2011
Last updated
11/18/2013
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