Organization
CREATING SMILES FOR SUCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HERLINDA QUINTANA MS,ED,MPA (CONSULTANT)
(505) 292-1582
Entity
Organization
Contact information
Practice address
8300 SAN PEDRO DR NE, ALBUQUERQUE, NM 87113-1703
(505) 323-3630
(505) 323-1574
Mailing address
8300 SAN PEDRO DR NE, ALBUQUERQUE, NM 87113-1703
(505) 323-3630
(505) 323-1574
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2322
NM
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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