Organization
ALBUQUERQUE IMPLANT & PERIODONTAL CONSULTANTS. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S SPARKS DDS.,MS (OWNER)
(505) 291-9000
Entity
Organization
Contact information
Practice address
10425 MONTGOMERY PKWY NE, ALBUQUERQUE, NM 87111-3864
(505) 291-9000
(505) 294-3998
Mailing address
10425 MONTGOMERY PKWY NE, ALBUQUERQUE, NM 87111-3864
(505) 291-9000
(505) 294-3998
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DD2729
NM
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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