Organization
SANDI'S SMILES FOR MILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA JEAN GANSHAW NDO-RDH (OWNER)
(505) 480-7200
Entity
Organization
Contact information
Practice address
901 RIO GRANDE BLVD NW, 154 G, ALBUQUERQUE, NM 87104-2057
(505) 480-7200
Mailing address
8408 RANCHO VECINO CT NW, ALBUQUERQUE, NM 87120-5812
(505) 480-7200
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
DH3281
NM
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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