Organization
C. MAHLON FRALEIGH, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUD MAHLON FRALEIGH II D.D.S. (OWNER)
(505) 293-2644
Entity
Organization
Contact information
Practice address
8400 OSUNA RD NE, STE 4-B, ALBUQUERQUE, NM 87111-2087
(505) 293-2644
(505) 293-2298
Mailing address
8400 OSUNA RD NE, STE 4-B, ALBUQUERQUE, NM 87111-2087
(505) 293-2644
(505) 293-2298
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DD2619
NM
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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