Organization
SOUTHWEST ORAL AND MAXILLOFACIAL SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAI PONG NG DMD (OWNER)
(505) 797-3530
Entity
Organization
Contact information
Practice address
5900 CUBERO DR NE STE A, ALBUQUERQUE, NM 87109-3879
(505) 797-3530
(505) 797-2155
Mailing address
5900 CUBERO DR NE STE A, ALBUQUERQUE, NM 87109-3879
(505) 797-3530
(505) 797-2155
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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