Organization
COMFORT DENTAL OF NORTH VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS CHISHOLM (OWNER)
(505) 341-2273
Entity
Organization
Contact information
Practice address
5308 4TH ST NW, ALBUQUERQUE, NM 87107-5206
(505) 341-2273
Mailing address
5308 4TH ST NW, ALBUQUERQUE, NM 87107-5206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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