Individual
ALFRED S GIOMBOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7115 PROSPECT PL NE, ALBUQUERQUE, NM 87110
(505) 883-5835
(505) 830-3120
Mailing address
7115 PROSPECT PL NE, ALBUQUERQUE, NM 87110
(505) 883-5835
(505) 830-3120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1484
NM
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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