Organization
NEW MEXICO ENDODONTIC SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JENKINS DDS (PRESIDENT)
(505) 830-3636
Entity
Organization
Contact information
Practice address
10151 MONTGOMERY BLVD NE STE 2B, ALBUQUERQUE, NM 87111-3664
(505) 830-3636
(505) 830-2305
Mailing address
10151 MONTGOMERY BLVD NE STE 2B, ALBUQUERQUE, NM 87111-3664
(505) 830-3636
(505) 830-2305
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
1137
NM
1223E0200X
Endodontics
Primary
2173
NM
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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