Organization
BELLA SMILES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORETTA R FUDZINSKI R.D.H. (CHIEF EXECUTIVE OFFICER)
(505) 299-6112
Entity
Organization
Contact information
Practice address
9204 MENAUL BLVD NE, SUITE 3, ALBUQUERQUE, NM 87112-2256
(505) 299-6112
(505) 299-7718
Mailing address
9204 MENAUL BLVD NE, SUITE 3, ALBUQUERQUE, NM 87112-2256
(505) 299-6112
(505) 299-7718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DH1036
NM
Other
Enumeration date
03/04/2007
Last updated
08/22/2020
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