Organization
GENTLE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A DAVIS (OFFICE MANAGER)
(505) 877-0435
Entity
Organization
Contact information
Practice address
1010 BRIDGE BLVD SW STE E, ALBUQUERQUE, NM 87105-3765
(505) 877-0435
(505) 873-8381
Mailing address
1010 BRIDGE BLVD SW STE E, ALBUQUERQUE, NM 87105-3765
(505) 877-0435
(505) 873-8381
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
Update your record
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