Organization
HONESTTOOTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR PEREYRA DDS (DENTIST)
(505) 323-7966
Entity
Organization
Contact information
Practice address
4233 MONTGOMERY NE, SUITE 120W, ALBUQUERQUE, NM 87109
(505) 323-7966
Mailing address
4233 MONTGOMERY BLVD NE, SUITE 120W, ALBUQUERQUE, NM 87109-6749
(505) 323-7966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4062
NM
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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