Organization
PEDIATRIC DENTAL ASSOCIATES OF NM PC
Active
Other names
smiles for kids
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER JOHN TASKER DMD (OWNER/DENTIST)
(505) 892-9010
Entity
Organization
Contact information
Practice address
8501 CANDELARIA RD NE, NE SUITE D-2, ALBUQUERQUE, NM 87112-1034
(505) 299-9606
(505) 299-9740
Mailing address
8501 CANDELARIA RD NE, NE SUITE D-2, ALBUQUERQUE, NM 87112-1034
(505) 299-9606
(505) 299-9740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PT0111434
NM
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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