Organization
A BETTER SMILE DENTISTRY LLC
Active
Other names
GOH Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LI BAO DMD (DENTIST)
(505) 208-0505
Entity
Organization
Contact information
Practice address
475 COORS BLVD NW, SUITE A, ALBUQUERQUE, NM 87121-1425
(505) 208-0505
Mailing address
475 COORS BLVD NW, SUITE A, ALBUQUERQUE, NM 87121-1425
(619) 548-5959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4029
NM
Other
Enumeration date
02/13/2017
Last updated
08/06/2024
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