Organization
FRED S. GIOMBOLINI, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED S. GIOMBOLINI D.D.S. (OWNER)
(505) 883-5835
Entity
Organization
Contact information
Practice address
7910 WYOMING BLVD NE, SUITE A, ALBUQUERQUE, NM 87109-6029
(505) 883-5835
(505) 830-3120
Mailing address
7910 WYOMING BLVD NE, SUITE A, ALBUQUERQUE, NM 87109-6029
(505) 883-5835
(505) 830-3120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1484
NM
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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