Organization
KAPIL GREWAL DDS
Active
Other names
New Age Dentistry, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAPIL GREWAL DDS (MANAGING DENTIST)
(415) 490-7704
Entity
Organization
Contact information
Practice address
717 ENCINO PL NE STE 6, ALBUQUERQUE, NM 87102-2624
(505) 247-8005
(505) 843-8589
Mailing address
717 ENCINO PL NE STE 6, ALBUQUERQUE, NM 87102-2624
(505) 247-8005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4182
NM
Other
Enumeration date
12/16/2015
Last updated
04/04/2016
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