Organization
GREGORY R MCALLISTER, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONJIA MACE (OFFICE MANAGER)
(505) 243-7655
Entity
Organization
Contact information
Practice address
5910 CUBERO DR NE STE B, ALBUQUERQUE, NM 87109-3868
(505) 243-7655
Mailing address
5910 CUBERO DR NE STE B, ALBUQUERQUE, NM 87109-3868
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1837
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09555374
—
NM
Enumeration date
09/04/2015
Last updated
09/04/2015
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