Organization
ALBUQUERQUE MODERN DENTISTS, LLC
Active
Other names
Albuquerque Modern Dentists
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE L MCCANN DDS (OWNER)
(505) 872-1100
Entity
Organization
Contact information
Practice address
6810 MENAUL BLVD NE, SUITE B, ALBUQUERQUE, NM 87110-3725
(505) 872-1100
(505) 872-0294
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/17/2012
Last updated
08/05/2014
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