Organization
KNEELAND DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUAN ANH TRAN D.M.D (OWNER)
(505) 200-9939
Entity
Organization
Contact information
Practice address
1628 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114-8807
(505) 200-9399
(505) 539-5102
Mailing address
1628 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114-8807
(505) 200-9399
(505) 539-5102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4687
NM
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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