Organization
UNCOMMON PC 1514 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHA WILLIAMS (COO)
(830) 347-1844
Entity
Organization
Contact information
Practice address
1514 COORS BLVD NW STE A, ALBUQUERQUE, NM 87121-1105
(505) 257-2000
(505) 859-3950
Mailing address
1514 COORS BLVD NW STE A, ALBUQUERQUE, NM 87121-1105
(505) 257-2000
(505) 859-3950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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