Organization
HERO DENTAL OF WEST ALBUQUERQUE PC
Active
Other names
Adventure Dental and Vision
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN URBANOZO (CREDENTIALING MANAGER)
(719) 323-2362
Entity
Organization
Contact information
Practice address
4208 CENTRAL AVE SW STE G, ALBUQUERQUE, NM 87105-1695
(719) 576-1850
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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