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3900 Eubank Blvd Ne Ste 14 Albuquerque NM 87111-3427 | |
| (505) 293-8011 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3900 Eubank Blvd Ne Ste 14, Albuquerque, New Mexico |
| Authorized Official Name and Position | Melody Bennion (DIRECTOR OF INTEGRATIONS) |
| Authorized Official Contact | 4802348490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
410 N 44th St Ste 290 Phoenix AZ 85008-7622 Ph: (480) 234-8490 | 3900 Eubank Blvd Ne Ste 14 Albuquerque NM 87111-3427 Ph: (505) 293-8011 |
| NPI Number | 1356027858 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356027858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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