Organization
CUBERO DENTAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J FARRELL DDS (PRESIDENT)
(505) 822-0663
Entity
Organization
Contact information
Practice address
5920 CUBERO DR NE, ALBUQUERQUE, NM 87109-3867
(505) 822-0663
(505) 797-0531
Mailing address
5920 CUBERO DR NE, ALBUQUERQUE, NM 87109-3867
(505) 822-0663
(505) 797-0531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1480
NM
1223G0001X
General Practice Dentistry
Primary
2031
NM
1223G0001X
General Practice Dentistry
2298
NM
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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