Organization
ADVANTAGE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA NGUYEN DMD (DENTIST/OWNER)
(505) 292-4940
Entity
Organization
Contact information
Practice address
9212 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2408
(505) 292-4940
Mailing address
9212 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2408
(505) 292-4940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46202269
—
NM
05
—
58927352
—
NM
Enumeration date
01/23/2019
Last updated
01/23/2019
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