Organization
BRIDENT DENTAL ASSOCIATES OF NEW MEXICO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DEMBERECKYJ (EVP, CHIEF GWTH STRGY OFFICER)
(714) 571-2140
Entity
Organization
Contact information
Practice address
933 SAN MATEO BLVD NE STE 100, ALBUQUERQUE, NM 87108-1860
(505) 785-6754
(714) 571-6445
Mailing address
530 S MAIN ST, ORANGE, CA 92868-4525
(714) 480-3000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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