Organization
ABQ DENTURES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER ROUKEMA DMD (MEMBER)
(216) 374-5693
Entity
Organization
Contact information
Practice address
2010-K WYOMING BLVD. NE, ALBUQUERQUE, NM 87112-2678
(505) 344-4948
Mailing address
2010-K WYOMING BLVD. NE, ALBUQUERQUE, NM 87112-2678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3069
NM
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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