Organization
DENTAL HOUSE TRADE WINDS, LLC
Active
Other names
Dental House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS LEE (PRESIDENT/SECRETARY)
(505) 508-1118
Entity
Organization
Contact information
Practice address
7930 WYOMING BLVD NE STE C, ALBUQUERQUE, NM 87109-6019
(505) 508-1118
Mailing address
7930 WYOMING BLVD NE STE C, ALBUQUERQUE, NM 87109-6019
(505) 508-1118
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2016
Last updated
06/02/2021
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