Organization
LRJ DENTAL LLC
Active
Other names
Center for Dental Sleep Medicine & TMJ
Organization subpart
No
Provider details
NPI number
Authorized official
KINNARI JARIWALA (OWNER)
(816) 835-4622
Entity
Organization
Contact information
Practice address
8311 SAN PEDRO DR NE STE 3, ALBUQUERQUE, NM 87113-2540
(505) 433-2107
(505) 508-2674
Mailing address
601 MENAUL BLVD NE UNIT 1303, ALBUQUERQUE, NM 87107-1571
(505) 453-0637
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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