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Organization

DENTAL OFFICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN T LIM D.D.S. (D.D.S.)
(505) 268-9047
Entity
Organization

Contact information

Practice address
533 WASHINGTON ST NE, ALBUQUERQUE, NM 87108-1156
(505) 268-9047
(505) 262-2090
Mailing address
533 WASHINGTON ST NE, ALBUQUERQUE, NM 87108-1156
(505) 268-9047
(505) 262-2090

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1242
NM

Other

Enumeration date
05/07/2013
Last updated
05/07/2013
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