Organization
PERFECT TEETH - CUBERO DRIVE P.C.
Active
Other names
Perfect Teeth - Cubero Drive P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE SUMMERS (CREDENTIALING)
(303) 285-6098
Entity
Organization
Contact information
Practice address
5900 CUBERO DR NE, SUITE E, ALBUQUERQUE, NM 87109-3882
(505) 797-7466
(505) 797-4411
Mailing address
5900 CUBERO DR NE, SUITE E, ALBUQUERQUE, NM 87109-3882
(505) 797-7466
(505) 797-4411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1398
NM
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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