Individual
COLIN A FORDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7520 MONTGOMERY BLVD NE STE A, ALBUQUERQUE, NM 87109-1521
(909) 725-4137
(505) 884-1479
Mailing address
7520 MONTGOMERY BLVD NE STE D, ALBUQUERQUE, NM 87109-1521
(505) 883-3722
(505) 884-1479
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3583
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD3583
STATE LICENSE
NM
Enumeration date
08/17/2010
Last updated
05/01/2023
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