Organization
GHERARDI & MOORE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY GIBSON (OFFICE MGR)
(505) 293-6125
Entity
Organization
Contact information
Practice address
3900 EUBANK NE, SUITE 5, ALBUQUERQUE, NM 87111
(505) 293-6125
(505) 293-6130
Mailing address
3900 EUBANK NE, SUITE 5, ALBUQUERQUE, NM 87111
(505) 293-6125
(505) 293-6130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1350
NM
1223G0001X
General Practice Dentistry
1844
NM
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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