Organization
UNIVERSITY OF NEW MEXICO DENTAL SERVICES
Active
Parent organization
UNM MEDICAL GROUP INC. C/O REGENTS OF THE UNIVERSITY OF NEW MEXICO
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNM MEDICAL GROUP INC. C/O REGENTS OF THE UNIVERSITY OF NEW MEXICO
Authorized official
GARY CUTTRELL D.D.S., J.D. (CHIEF ASSISTANT PROFESSOR)
(505) 925-7797
Entity
Organization
Contact information
Practice address
1801 CAMINO DE SALUD NE, SUITE 1200, ALBUQUERQUE, NM 87102-0001
(505) 925-7797
(505) 925-7800
Mailing address
1801 CAMINO DE SALUD NE, SUITE 1200, ALBUQUERQUE, NM 87102-0001
(505) 925-7797
(505) 925-7800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2136
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28601831
—
NM
Enumeration date
09/04/2007
Last updated
05/08/2012
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