Individual
PAUL A NUANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1514 COORS BLVD NW, ALBUQUERQUE, NM 87121-1105
(505) 588-2819
Mailing address
MSC 06 3500 I UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 925-4031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4134
NM
390200000X
Student in an Organized Health Care Education/Training Program
DD4134
NM
Other
Enumeration date
03/31/2014
Last updated
08/07/2020
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