Organization
ALBUQUERQUE DENTIST OFFICE, LLC
Active
Other names
Albuquerque Dentist Office, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLEY HOLLINGSWORTH RYALS DDS (OWNER DOCTOR)
(505) 918-9189
Entity
Organization
Contact information
Practice address
10221 CENTRAL AVE NE, 103, ALBUQUERQUE, NM 87123-2733
(505) 918-9189
(505) 918-9175
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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