Organization
NEW MEXICO COMMUNITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KWEI TSCHEN (OWNER)
(216) 904-2805
Entity
Organization
Contact information
Practice address
2116 HINKLE ST SE, ALBUQUERQUE, NM 87102-4930
(505) 843-7493
Mailing address
2116 HINKLE ST SE, ALBUQUERQUE, NM 87102-4930
(505) 843-7493
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00047506
—
NM
Enumeration date
01/25/2018
Last updated
07/21/2022
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