Organization
ORTHODONTIC SPECIALISTS OF ALBUQUERQUE SANTA FE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL B SILVERMAN DMD (ORTHODONTIST)
(505) 822-1234
Entity
Organization
Contact information
Practice address
8216 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87113-2105
(505) 822-1234
Mailing address
8216 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87113-2105
(505) 822-1234
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DD2277
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13602
—
NM
05
—
179859
—
NM
Enumeration date
04/23/2007
Last updated
08/22/2020
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