Adventure Dental, Vision And Orthodontics | |
5000 Menaul Blvd Ste B Albuquerque NM 87110-3046 | |
(505) 872-1212 | |
(505) 872-1213 |
Full Name | Adventure Dental, Vision And Orthodontics |
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Speciality | Dentist - General Practice |
Location | 5000 Menaul Blvd, Albuquerque, New Mexico |
Authorized Official Name and Position | Shaun Urbanozo (CREDENTIALING MANAGER) |
Authorized Official Contact | 7193232362 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Adventure Dental, Vision And Orthodontics 2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 Ph: (719) 955-8896 | Adventure Dental, Vision And Orthodontics 5000 Menaul Blvd Ste B Albuquerque NM 87110-3046 Ph: (505) 872-1212 |
NPI Number | 1871881623 |
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Provider Enumeration Date | 07/14/2011 |
Last Update Date | 10/29/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871881623 | NPI | - | NPPES |
56620721 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (New Mexico) | Primary |
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