Individual
DR. RICHARD D PADBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1102 HWY 68TH, EMBUDO, NM 87531-0037
(505) 579-4680
(505) 579-4074
Mailing address
PO BOX 37, EMBUDO, NM 87531-0037
(505) 579-4680
(505) 579-4074
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1074 NM
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86611
—
NM
Enumeration date
08/14/2006
Last updated
07/08/2007
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