Organization
SCOTT MILTENBERGER DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL LYNN DEANDA (PRACTICE ADMINISTRATOR)
(505) 884-9793
Entity
Organization
Contact information
Practice address
3901 GEORGIA ST NE STE C4, ALBUQUERQUE, NM 87110-1389
(505) 884-9793
(505) 884-8082
Mailing address
3901 GEORGIA ST NE STE C4, ALBUQUERQUE, NM 87110-1389
(505) 884-9793
(505) 884-8082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NM1559
NM
Other
Enumeration date
02/02/2006
Last updated
10/21/2020
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